Cross Creek DCTX Associates, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25909 Issued in TX

Legal business name

CROSS CREEK DCTX ASSOCIATES, PLLC

Doing business as

Cross Creek Smiles

Practice address

5215 FM 1463 Rd.,
Suite 200
Katy, TX 77494

Phone

(281) 693-6911

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Alma F Payumo, D.M.D

Title

President

Phone

(281) 693-6911

Specialties & licenses 1

Addresses

Other names 1

• Cross Creek Smiles Doing business as

Locations

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458086400000",
    "number": "1447611678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271079",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772771079",
            "telephone_number": "281-395-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 FM 1463 RD.,",
            "address_2": "SUITE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-693-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS CREEK DCTX ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A",
        "authorized_official_last_name": "PAYUMO",
        "authorized_official_first_name": "ALMA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-693-6911",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Creek Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Mar 16, 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.

Verify at the official NPI Registry.