Organization Active NPI

Kenneth M. Lubritz DDS Inc.

  • Periodontics
  • Houston, TX
National Provider Identifier
1447302039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
KENNETH M. LUBRITZ DDS INC.
Practice address
2500 Fondren Rd
Suite 330
Houston, TX 77063-2319
Phone
(713) 789-7676
Fax
(713) 789-7051
NPI assigned
Jan 17, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kenneth Michael Lubritz, D.D.S.
Title
Periodontist
Phone
(713) 789-7676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X NU Primary

Addresses

Primary practice location

2500 Fondren Rd
Suite 330
Houston, TX 77063-2319

Mailing address

2500 Fondren Rd
Suite 330
Houston, TX 77063-2319
Phone (713) 789-7676

National Provider Directory

National Provider Directory

Locations

2500 Fondren Rd
Ste 330
Houston, TX 77063
Phone (713) 789-7676

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447302039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-789-7676",
            "fax_number": "713-789-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 FONDREN RD",
            "address_2": "SUITE 330",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632319",
            "telephone_number": "713-789-7676",
            "fax_number": "713-789-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH M. LUBRITZ DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUBRITZ",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PERIODONTIST",
        "authorized_official_telephone_number": "713-789-7676",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "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 Aug 22, 2020; 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.