Organization Active NPI

South Peek Dental Care PLLC

  • Dental Clinic/Center
  • Katy, TX
National Provider Identifier
1417647405
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SOUTH PEEK DENTAL CARE PLLC
Practice address
6356 S Peek Rd Ste 700
Katy, TX 77450-7192
Phone
(714) 622-9620
Fax
(346) 307-7359
NPI assigned
May 11, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Peter Nguyen, DMDNPI 1316294440
Title
President
Phone
(714) 622-9620

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 Primary

Addresses

Primary practice location

6356 S Peek Rd Ste 700
Katy, TX 77450-7192

Mailing address

6356 S Peek Rd Ste 700
Katy, TX 77450-7192
Phone (714) 622-9620

Other names 1

  • South Peek Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

6356 S Peek Rd
Ste 700
Katy, TX 77450
Phone (714) 622-9620

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": "1683763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1417647405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507192",
            "telephone_number": "714-622-9620",
            "fax_number": "346-307-7359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6356 S PEEK RD STE 700",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507192",
            "telephone_number": "714-622-9620",
            "fax_number": "346-307-7359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH PEEK DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-11",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-622-9620",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Peek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.