Brilliant Dental Care

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19679 Issued in TX

Legal business name

BRILLIANT DENTAL CARE

Practice address

4000 Washington Ave
Ste 201
Houston, TX 77007-5673

Phone

(713) 839-0900

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kevin M Freeman, DDSNPI 1932328457

Title

DDS/Owner

Phone

(713) 839-0900

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kevin M Freeman, D.D.S.

  • Dentist
  • Houston, TX
  • NPI 1932328457
  NPD (past) Authorized official

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1417322637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WASHINGTON AVE",
            "address_2": "STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075673",
            "telephone_number": "713-839-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WASHINGTON AVE",
            "address_2": "STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770075673",
            "telephone_number": "713-839-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRILLIANT DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "713-839-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brightway Therapy Services LLC
• Eileen Brightwell, D.D.S.
• Karen Lee Brill, LCSW
• Laura Ann Brill, MD
• Rachel Michele Brill, MD
• Brilliantly Baby
• Catina Brimmer
• Taylor Marie Bringard
• Amanda Brink, FNP-BC
• Russell L Brink, D.O.

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.