Katy Olive Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KATY OLIVE DENTAL PLLC

Practice address

23213 Red River Dr
Katy, TX 77494

Phone

(832) 913-3879

Fax

(800) 880-6774

NPI assigned

Feb 6, 2019

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin K Yeum, DDSNPI 1376767327

Title

President

Phone

(832) 913-3879

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, and the practitioner matching its NPPES authorized official.

• Kevin K Yeum, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1376767327
  NPD Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1437614179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23213 RED RIVER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "832-913-3879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23213 RED RIVER DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "832-913-3879",
            "fax_number": "800-880-6774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY OLIVE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "YEUM",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-913-3879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katy Midwifery Co LLC (Katy Birth Center)
• Katy Mills Dental
• Katy Mills Dental, PLLC
• Katy Mobile Chiropractic, P.a. (Alexander Family Chiropractic)
• Katy Modern Dentistry and Orthodontics PC (Katy Modern Dentistry and Orthodontics)
• Katy Pain and Spine, PLLC
• Katy Pain Specialists, PLLC
• Katy Park Pediatric Dentistry PLLC
• Katy Pediatric Neurology
• Katy Pediatric Physical Therapy

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.