Organization Active NPI

Trinidad Family Dental PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1528544988
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRINIDAD FAMILY DENTAL PLLC
Practice address
6127 N Fry Rd
Katy, TX 77449-5563
Phone
(832) 779-8444
NPI assigned
Jul 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Keyttia Beovides Bonachea, DMDNPI 1366995425
Title
Dentist
Phone
(832) 779-8444

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6127 N Fry Rd
Katy, TX 77449-5563

Mailing address

6127 N Fry Rd
Katy, TX 77449-5563
Phone (832) 779-8444

Other names 1

  • Miramar Family Dental Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

6127 Fry Rd
Katy, TX 77449
Phone (281) 550-3795

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1528544988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 N FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495563",
            "telephone_number": "832-779-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6127 N FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774495563",
            "telephone_number": "832-779-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINIDAD FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BEOVIDES BONACHEA",
        "authorized_official_first_name": "KEYTTIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-779-8444",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miramar Family Dental Clinic",
            "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 May 18, 2023; 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.