Active NPI
Kusum Kapoor Kumar, DDS
- Dentist
- Pasadena, TX
National Provider Identifier
1487789509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15177
- Practice address
- 1022 Pasadena Blvd
Ste C
Pasadena, TX 77506-4750 - Phone
- (713) 473-4358
- Fax
- (713) 473-4358
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 15177 | TX | Primary |
Addresses
Primary practice location
1022 Pasadena Blvd
Ste C
Pasadena, TX 77506-4750
Mailing address
1022 Pasadena Blvd Ste C
Pasadena, TX 77506-4764
Phone (713) 473-4358
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0909467 01 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15177 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447113600000",
"number": "1487789509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1022 PASADENA BLVD STE C",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064764",
"telephone_number": "713-473-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 PASADENA BLVD",
"address_2": "STE C",
"city": "PASADENA",
"state": "TX",
"postal_code": "775064750",
"telephone_number": "713-473-4358",
"fax_number": "713-473-4358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "KUSUM",
"middle_name": "KAPOOR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2015-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "15177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0909467 01",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.