Texas Kids Dentist, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

TEXAS KIDS DENTIST, PLLC

Practice address

2780 FM 1463
Suite 203
Katy, TX 77494-3827

Phone

(630) 423-6474

NPI assigned

Mar 6, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nisha Mehta, DDSNPI 1518387554

Title

Owner

Phone

(630) 423-6474

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nisha Mehta, DDS, MS

  • Pediatric Dentistry
  • Katy, TX
  • NPI 1518387554
  NPD (past) Authorized official

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1356881718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8830 LONG POINT RD",
            "address_2": "SUITE 502",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770553040",
            "telephone_number": "630-423-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 FM 1463",
            "address_2": "SUITE 203",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774943827",
            "telephone_number": "630-423-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDS DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-423-6474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.