Organization Active NPI

Charm Dental Cypress PLLC

Doing business as Charm Dental

  • General Practice Dentistry
  • Tomball, TX
National Provider Identifier
1417770322
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHARM DENTAL CYPRESS PLLC
Doing business as
Charm Dental
Practice address
28427 TX-249
Tomball, TX 77375
Phone
(201) 214-5137
NPI assigned
Nov 7, 2024
Last updated
Nov 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Authorized official

Name
Dr. Radhika ShahNPI 1023424579
Title
Owner Dentist
Phone
(201) 214-5137

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

28427 TX-249
Tomball, TX 77375

Mailing address

5310 Fairdale LN
Houston, TX 77056-6605
Phone (201) 214-5137

Other names 1

  • Charm Dental Doing business as

National Provider Directory

National Provider Directory

Locations

28427 State Highway 249
Tomball, TX 77375
Phone (201) 214-5137

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730937600000",
    "number": "1417770322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 FAIRDALE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566605",
            "telephone_number": "201-214-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28427 TX-249",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77375",
            "telephone_number": "201-214-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM DENTAL CYPRESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RADHIKA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "201-214-5137",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charm Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tomball, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.