K&H Dental PA

Organization Active NPI General Practice Dentistry · Bridgeport, TX

NPI 1376941013 · NPPES record last updated Dec 19, 2014

Key facts

NPI
1376941013
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
26104 (TX)
Legal business name
K&H DENTAL PA
Practice address
1808 Chico Highway
Bridgeport, TX 76426
Phone
(940) 683-3233
NPI assigned
Dec 11, 2014
Organization subpart
No

Authorized official

Name
Sumeet Singh Malhotra
Title
Owner
Phone
(617) 412-0792

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1808 Chico Hwy
Bridgeport, TX 76426
Phone (940) 683-3233

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 26104 TX Yes
Dental Clinic/Center 261QD0000X 26104 TX

Addresses

Primary practice location

1808 Chico Highway
Bridgeport, TX 76426

Mailing address

1808 Chico Highway
Bridgeport, TX 76426
Phone (940) 683-3233

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2014.

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1376941013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 CHICO HIGHWAY",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "76426",
            "telephone_number": "940-683-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 CHICO HIGHWAY",
            "city": "BRIDGEPORT",
            "state": "TX",
            "postal_code": "76426",
            "telephone_number": "940-683-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&H DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "SUMEET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-412-0792"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26104",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "26104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, TX

All providers in Bridgeport, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.