Active NPI
Krystle Ego Udezue, DDS
- Dentist
- Houston, TX
National Provider Identifier
1427424167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31270
- Practice address
- 1914 Gessner Rd
Houston, TX 77080-6371 - Phone
- (713) 595-8999
- NPI assigned
- Aug 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 31270 | TX | Primary |
Addresses
Primary practice location
1914 Gessner Rd
Houston, TX 77080-6371
Mailing address
14110 Grovemist LN
Houston, TX 77082-2168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31270 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kuvis Dental PLLC | Current | Accepting new patients |
Locations
10750 Barker Cypress Rd
Ste 111
Cypress, TX 77433
Phone (281) 213-8666
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Cypress, TX
- NPI 1942805015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477958400000",
"number": "1427424167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14110 GROVEMIST LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770822168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 GESSNER RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770806371",
"telephone_number": "713-595-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UDEZUE",
"first_name": "KRYSTLE",
"middle_name": "EGO",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-17",
"last_updated": "2016-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.