Organization Active NPI

Philip J Cimo DDS PA

  • Dental Clinic/Center
  • Houston, TX
National Provider Identifier
1396108452
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20351 Issued in TX
Legal business name
PHILIP J CIMO DDS PA
Practice address
650 W Bough LN Ste 160
Houston, TX 77024-4099
Phone
(713) 464-1887
Fax
(713) 461-0605
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Philip Joseph Cimo, DDSNPI 1912079229
Title
Owner
Phone
(713) 464-1887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20351 TX Primary

Addresses

Primary practice location

650 W Bough LN Ste 160
Houston, TX 77024-4099

Mailing address

650 W Bough LN Ste 160
Houston, TX 77024-4099
Phone (713) 464-1887

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.

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1396108452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 W BOUGH LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244099",
            "telephone_number": "713-464-1887",
            "fax_number": "713-461-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 W BOUGH LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770244099",
            "telephone_number": "713-464-1887",
            "fax_number": "713-461-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J CIMO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "CIMO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-464-1887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.