Audra Leann Hiemstra, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

24722 Issued in TX

Practice address

14090 FM 2920 Rd Ste H
Tomball, TX 77377-5550

Phone

(281) 516-1222

Fax

(866) 204-0120

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tomball Family Dental

  • General Practice Dentistry
  • Tomball, TX
  • NPI 1780962456
  NPD (past) Authorized official

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1356578645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16510 DUNLEITH CIR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294832",
            "telephone_number": "281-389-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 FM 2920 RD STE H",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775550",
            "telephone_number": "281-516-1222",
            "fax_number": "866-204-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEMSTRA",
        "first_name": "AUDRA",
        "middle_name": "LEANN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Jane Hicks, CCC-SLP
• Gregory Hicks, PHARMD
• Hailey Elizabeth Hicks, FNP-C
• Lamarr Hicks
• Tammie Faulk Hicks, O.D.
• Rayla Higginbotham, LPC ASSOCIATE
• Danielle Higgins
• Hilary Butella DNP PLLC
• Erin Elizabeth Hill-Derkowski, LPC ASSOCIATE
• Hillwood Family Dental of Tomball, PLLC

• Dentist in Tomball, TX
• Providers in Tomball, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.