Dentists of Northpark, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF NORTHPARK, PC

Practice address

30130 Rock Creek Dr Ste 400
Kingwood, TX 77339-2874

Phone

(936) 256-3091

Fax

(936) 242-0322

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Tiffany Moore

Title

Owner

Phone

(714) 845-8890

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Northpark Doing business as

Locations

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1407436777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30130 ROCK CREEK DR STE 400",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392874",
            "telephone_number": "936-256-3091",
            "fax_number": "936-242-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF NORTHPARK, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8890"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Northpark",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ephrem Digafie Demie, MD
• Dennis C Vaughn DDS, Inc
• Bryce Garrison Dennis, MD
• Darrel Dennis, DPM
• Dentistry of Kingwood, PLLC
• Erin Coyne Derr, S.L.P.
• Shiv Desai, DO
• Destiny Global Assist, LLC
• Jacqueline Dewvall, RBT
• Galvin Singh Dhaliwal, MD

• General Practice Dentistry in Kingwood, TX
• Providers in Kingwood, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.