VS-Beechnut, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VS-BEECHNUT, PLLC

Practice address

9404 W Sam Houston Pkwy S Ste a
Houston, TX 77099-2054

Phone

(832) 264-4723

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Jennifer Bak

Title

Office Manager

Phone

(832) 264-4723

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1467847459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 ANTOINE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770887230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9404 W SAM HOUSTON PKWY S STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992054",
            "telephone_number": "832-264-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VS-BEECHNUT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "BAK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-264-4723"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Houston, TX
• Providers in Houston, 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 Apr 9, 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.