Organization Active NPI

Cosmetic Dentist of Katy, P.a

  • Periodontics
  • Katy, TX
National Provider Identifier
1356567630
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
COSMETIC DENTIST OF KATY, P.A
Practice address
929 S Mason Rd
Katy, TX 77450-3874
Phone
(281) 579-6066
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dinh X Bui
Title
President
Phone
(281) 579-6066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

929 S Mason Rd
Katy, TX 77450-3874

Mailing address

929 S Mason Rd
Katy, TX 77450-3874
Phone (281) 579-6066

National Provider Directory

National Provider Directory

Locations

929 S Mason Rd
Katy, TX 77450
Phone (281) 579-6066

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356567630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503874",
            "telephone_number": "281-579-6066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 S MASON RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503874",
            "telephone_number": "281-579-6066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC DENTIST OF KATY, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "DINH",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-579-6066"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.