Humble 9701, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

HUMBLE 9701, PLLC

Doing business as

Southern Charm Dental

Practice address

9701 N Sam Houston Pkwy E
Humble, TX 77396-4636

Phone

(832) 384-9767

Fax

(832) 827-6813

NPI assigned

Oct 1, 2020

Last updated

Nov 30, 2022By 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

Krupa Patel, DDSNPI 1043624596

Title

Manager

Phone

(402) 216-6693

Specialties & licenses 2

Addresses

Other names 1

• Southern Charm Dental Doing business as

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.

• Krupa Patel, DDS

  • Dentist
  • Dallas, TX
  • NPI 1043624596
  NPD Authorized official

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1467059501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "832-384-9767",
            "fax_number": "832-827-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 N SAM HOUSTON PKWY E",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773964636",
            "telephone_number": "832-384-9767",
            "fax_number": "832-827-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBLE 9701, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "KRUPA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-216-6693",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Charm Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Charm Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kendra Dion Huery
• Damon S Huffman, D.D.S.
• David S Huffman, D.D.S.
• Breana Hughes
• Diane Hughes, M.D.
• Humble Back Clinic
• Humble Cardiac and Endovascular
• Humble Cardio and Endovascular
• Humble Cardiovascular Center, PA
• Humble Dental Arts, PLLC

• Dentist in Humble, TX
• Providers in Humble, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.