Willis J Pumphrey Jr. D.D.S. P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13017 Issued in TX

Legal business name

WILLIS J PUMPHREY JR. D.D.S. P.A.

Doing business as

Dental Cosmetic Center

Practice address

4126 Southwest Fwy
Suite #1610
Houston, TX 77027-7310

Phone

(713) 777-6453

NPI assigned

Jan 23, 2007

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Willis J Pumphrey Jr., D.D.S.NPI 1134382997

Title

Ceo

Phone

(713) 777-6453

Specialties & licenses 1

Addresses

Other names 1

• Dental Cosmetic Center Doing business as

Practitioners 1

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.

• Willis J Pumphrey Jr., D.D.S.

  • General Practice Dentistry
  • Houston, TX
  • NPI 1134382997
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1548315591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE #1610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-777-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 SOUTHWEST FWY",
            "address_2": "SUITE #1610",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770277310",
            "telephone_number": "713-777-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS J PUMPHREY JR. D.D.S. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "PUMPHREY",
        "authorized_official_first_name": "WILLIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-777-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Cosmetic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Rutherford Willie II, D.D.S.
• David S Williford, CRNA
• Josiah Willingham
• Kayla Willingham
• Simone Willingham, MD
• Aaliyah F Willis, MD
• Alexis Willis
• Amanda Jones Willis, DNP, CPNP-PC/AC
• Arletta Willis, SLP-A
• Arthur William Willis Jr., MD

• 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 Jun 18, 2008; 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.