NPIMap

Organization Active NPI

Care for Kids Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Kingwood, TX
National Provider Identifier
1548713688
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
30790 Issued in TX
Legal business name
CARE FOR KIDS PEDIATRIC DENTISTRY, PLLC
Practice address
24510 Eastex Fwy Ste 110
Kingwood, TX 77339-2698
Phone
(281) 608-7535
Fax
(281) 608-7537
NPI assigned
Jul 25, 2016
Last updated
Nov 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Authorized official

Name
Jonathan Robert PatrickNPI 1619218799
Title
Owner
Phone
(281) 608-7535

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
Pediatric Dentistry 1223P0221X 30790 TX Primary

Addresses

Primary practice location

24510 Eastex Fwy Ste 110
Kingwood, TX 77339-2698

Mailing address

24510 Eastex Fwy Ste 110
Kingwood, TX 77339-2698
Phone (281) 608-7535

National Provider Directory

National Provider Directory

Locations

24510 Highway 59 N
Ste 110
Kingwood, TX 77339
Phone (281) 608-7535

Practitioners & affiliated clinicians

Practitioners 5

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": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1548713688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24510 EASTEX FWY STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392698",
            "telephone_number": "281-608-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24510 EASTEX FWY STE 110",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392698",
            "telephone_number": "281-608-7535",
            "fax_number": "281-608-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE FOR KIDS PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-608-7535"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "30790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.