Kidstown Dental

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24032 Issued in TX

Legal business name

KIDSTOWN DENTAL

Practice address

27110 Cinco Ranch Suite 900
Katy, TX 77494

Phone

(281) 433-1244

NPI assigned

Jun 7, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Amy Lynn Luedemann, DDS, MS

Title

Pediatric Dentist

Phone

(281) 433-1244

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339027200000",
    "number": "1558622332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27110 CINCO RANCH SUITE 900",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-433-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27110 CINCO RANCH SUITE 900",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-433-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDSTOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-07",
        "last_updated": "2012-06-07",
        "status": "A",
        "authorized_official_last_name": "LUEDEMANN",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "281-433-1244",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220749001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia Grega Khramov, M. ED, LPC-ASSOCIATE
• Zainab Khurshid, CPT
• Kidd's Kids ABA Therapy
• Kids and Adults Therapy Services
• Kids in Motion Physical Therapy
• Dennis Kiecke, P.T.
• Gerard Nyunwu Kiffa
• Rosemary Nsum Kiffa
• Amy Marie Kiley, PHARMD
• Andrew Kim

• Pediatric Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; 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.