NPIMap

Organization Active NPI

DKJK Dental, PLLC

Doing business as Red Bird Dental

  • Dental Clinic/Center
  • Katy, TX
National Provider Identifier
1467845628
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
25151 Issued in TX
Legal business name
DKJK DENTAL, PLLC
Doing business as
Red Bird Dental
Practice address
870 S Mason Rd
Ste 144
Katy, TX 77450-3898
Phone
(832) 437-9154
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Authorized official

Name
Dr. Douk Kook, DDS
Title
Vice President
Phone
(832) 437-9157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 25151 TX Primary

Addresses

Primary practice location

870 S Mason Rd
Ste 144
Katy, TX 77450-3898

Mailing address

870 S Mason Rd
Ste 144
Katy, TX 77450-3898
Phone (832) 437-9154

Other names 1

  • Red Bird Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426118400000",
    "number": "1467845628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 S MASON RD",
            "address_2": "STE 144",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503898",
            "telephone_number": "832-437-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 S MASON RD",
            "address_2": "STE 144",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503898",
            "telephone_number": "832-437-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DKJK DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A",
        "authorized_official_last_name": "KOOK",
        "authorized_official_first_name": "DOUK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "832-437-9157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Bird Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; 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.