Organization Active NPI

Nottingham Dental PLLC

  • Dental Clinic/Center
  • Katy, TX
National Provider Identifier
1528626462
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NOTTINGHAM DENTAL PLLC
Practice address
20501 Katy Fwy, Ste 104
Katy, TX 77450-1939
Phone
(281) 578-0211
Fax
(281) 578-2457
NPI assigned
Jun 5, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Jingru Yan, DDSNPI 1972028769
Title
Member
Phone
(281) 578-0211

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

20501 Katy Fwy, Ste 104
Katy, TX 77450-1939

Mailing address

20501 Katy Fwy, Ste 104
Katy, TX 77450-1939
Phone (281) 578-0211

National Provider Directory

National Provider Directory

Locations

20501 Katy Fwy
Ste 104
Katy, TX 77450
Phone (281) 578-0211

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": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1528626462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20501 KATY FWY, STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501939",
            "telephone_number": "281-578-0211",
            "fax_number": "281-578-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20501 KATY FWY, STE 104",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774501939",
            "telephone_number": "281-578-0211",
            "fax_number": "281-578-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTTINGHAM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "YAN",
        "authorized_official_first_name": "JINGRU",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-578-0211",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 5, 2019; 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.