Organization Active NPI

Cypress Mint Dentistry PLLC

  • Dental Clinic/Center
  • Cypress, TX
National Provider Identifier
1417402033
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CYPRESS MINT DENTISTRY PLLC
Practice address
22224 Northwest Fwy
Cypress, TX 77429-5768
Phone
(713) 692-6468
NPI assigned
Aug 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Jennifer Sgrillo
Title
Coo
Phone
(817) 939-0853

Specialties & licenses 1

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

Addresses

Primary practice location

22224 Northwest Fwy
Cypress, TX 77429-5768

Mailing address

22224 Northwest Fwy
Cypress, TX 77429-5768
Phone (713) 692-6468

National Provider Directory

National Provider Directory

Locations

22224 Northwest Fwy
Cypress, TX 77429
Phone (713) 692-6468

NPI Registry JSON

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

{
    "created_epoch": "1471996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471996800000",
    "number": "1417402033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22224 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295768",
            "telephone_number": "713-692-6468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22224 NORTHWEST FWY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774295768",
            "telephone_number": "713-692-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS MINT DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-24",
        "last_updated": "2016-08-24",
        "status": "A",
        "authorized_official_last_name": "SGRILLO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "817-939-0853"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.