Organization Active NPI

Christi V. Clifford D.D.S., PA

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1568557155
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17894 Issued in TX
Legal business name
CHRISTI V. CLIFFORD D.D.S., PA
Practice address
903 Bay Area Blvd.
Ste. E
Houston, TX 77058
Phone
(281) 486-0440
Fax
(281) 486-5918
NPI assigned
Oct 3, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Christi Van Clifford, DDSNPI 1306856935
Title
Dentist
Phone
(281) 486-0440

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 Dentistry 1223G0001X 17894 TX Primary

Addresses

Primary practice location

903 Bay Area Blvd.
Ste. E
Houston, TX 77058

Mailing address

903 Bay Area Blvd.
Ste. E
Houston, TX 77058
Phone (281) 486-0440

Other identifiers 2

IdentifierTypeStateIssuer
133304906MedicaidTX
17894*02OtherTXTEXAS CHIP

National Provider Directory

National Provider Directory

Locations

903 Bay Area Blvd
Ste E
Houston, TX 77058
Phone (281) 486-0440

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1568557155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 BAY AREA BLVD.",
            "address_2": "STE. E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-486-0440",
            "fax_number": "281-486-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 BAY AREA BLVD.",
            "address_2": "STE. E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77058",
            "telephone_number": "281-486-0440",
            "fax_number": "281-486-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTI V. CLIFFORD D.D.S., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "CLIFFORD",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-486-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133304906",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP",
            "identifier": "17894*02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.