Organization Active NPI

Serenity Katy Dental PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1376189274
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SERENITY KATY DENTAL PLLC
Practice address
21927 Clay Rd Ste 550
Katy, TX 77449-0816
Phone
(281) 310-1417
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Faith Gaskins
Title
Director of Credentialing
Phone
(972) 869-3789

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

21927 Clay Rd Ste 550
Katy, TX 77449-0816

Mailing address

21927 Clay Rd Ste 550
Katy, TX 77449-0816
Phone (281) 310-1417

Other names 1

  • Serenity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

21927 Clay Rd
Ste 550
Katy, TX 77449
Phone (281) 310-1417

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1376189274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21927 CLAY RD STE 550",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490816",
            "telephone_number": "281-310-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21927 CLAY RD STE 550",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490816",
            "telephone_number": "281-310-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY KATY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 26, 2019; 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.