NPIMap

Organization Active NPI

Garrett a. Bethke,D.D.S., Inc.

  • Dentist
  • Katy, TX
National Provider Identifier
1366619710
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22291 Issued in TX
Legal business name
GARRETT A. BETHKE,D.D.S., INC.
Practice address
21715 Kingsland Blvd Ste 105
Katy, TX 77450-2544
Phone
(281) 492-6064
Fax
(281) 579-1808
NPI assigned
May 14, 2008
Last updated
May 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Dr. Garrett A BethkeNPI 1245306463
Title
President
Phone
(281) 492-6064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22291 TX Primary

Addresses

Primary practice location

21715 Kingsland Blvd Ste 105
Katy, TX 77450-2544

Mailing address

21715 Kingsland Blvd Ste 105
Katy, TX 77450-2544
Phone (281) 492-6064

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1366619710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21715 KINGSLAND BLVD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502544",
            "telephone_number": "281-492-6064",
            "fax_number": "281-579-1808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21715 KINGSLAND BLVD STE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502544",
            "telephone_number": "281-492-6064",
            "fax_number": "281-579-1808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT A. BETHKE,D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "BETHKE",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-492-6064",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22291",
            "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 May 14, 2008; 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.