NPIMap

Organization Active NPI

BLC Dental PLLC

Doing business as Advance Dental 3

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1528470168
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22749 Issued in TX
Legal business name
BLC DENTAL PLLC
Doing business as
Advance Dental 3
Practice address
121 Little York Rd
Houston, TX 77076-1020
Phone
(281) 880-8771
Fax
(281) 880-7767
NPI assigned
Jun 2, 2014
Last updated
Jun 2, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BLC DENTAL PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Bryan Chu, DDSNPI 1497830608
Title
Owner/Dentist
Phone
(281) 880-8771

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22749 TX Primary

Addresses

Primary practice location

121 Little York Rd
Houston, TX 77076-1020

Mailing address

5203 Cypress Creek Pkwy
Suite H
Houston, TX 77069-4400
Phone (281) 880-8771

Other names 1

  • Advance Dental 3 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
BLC Dental PLLC2 organizations share this tax ID, including this one
Part of
BLC Dental PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1528470168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5203 CYPRESS CREEK PKWY",
            "address_2": "SUITE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694400",
            "telephone_number": "281-880-8771",
            "fax_number": "281-880-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LITTLE YORK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761020",
            "telephone_number": "281-880-8771",
            "fax_number": "281-880-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLC DENTAL PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLC DENTAL PLLC",
        "enumeration_date": "2014-06-02",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "281-880-8771",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Dental 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; 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.