Active NPI
Philip J Cimo DDS PA
- Dental Clinic/Center
- Houston, TX
National Provider Identifier
1396108452
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 20351
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Joseph Cimo, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Houston, TX
- NPI 1912079229
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.