Individual provider Active NPI

Surachon Weerachartkul, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1447489463
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24536 Issued in TX
Practice address
6001 Hillcroft St Ste 600
Houston, TX 77081-1016
Phone
(713) 392-1993
NPI assigned
Jul 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24536 TX Primary

Addresses

Primary practice location

6001 Hillcroft St Ste 600
Houston, TX 77081-1016

Mailing address

6001 Hillcroft St Ste 600
Houston, TX 77081-1016
Phone (713) 392-1993

Other practice location 1

123 W Southmore Ave
Pasadena, TX 77502-1001
Phone (713) 473-0058

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

LicenseStateTypeSpecialty
24536TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Weera Family Dentistry, PLLC CurrentSince Jul 24, 2022 Accepting new patients
SW DDS PLLC General Practice Current Accepting new patients
Minh Phan DDS PA Past Accepting new patients

Locations

6001 Hillcroft Ave
Ste 600
Houston, TX 77081
Phone (713) 392-1993

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1247356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1447489463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 HILLCROFT ST STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811016",
            "telephone_number": "713-392-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 HILLCROFT ST STE 600",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770811016",
            "telephone_number": "713-392-1993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 W Southmore Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775021001",
            "country_code": "US",
            "telephone_number": "713-473-0058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEERACHARTKUL",
        "first_name": "SURACHON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24536",
            "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 Jul 21, 2022; 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.