Kids Dental & Orthodontics

Primary specialty

DentistTaxonomy code 122300000X

License

26420 Issued in TX

Legal business name

KIDS DENTAL & ORTHODONTICS

Practice address

1618 N. I Road Suite a
San Juan, TX 78589

Phone

(956) 783-7070

NPI assigned

Apr 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. George Luikham

Title

DDS

Phone

(956) 783-7070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1598021966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 N. I ROAD SUITE A",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-783-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 N. I ROAD SUITE A",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "78589",
            "telephone_number": "956-783-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS DENTAL & ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "LUIKHAM",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "956-783-7070",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myranda Lynne Jaso
• Leah Jasso
• Manika Jha, M.D.
• Brenda Jimenez, MS CCC SLP
• JV Dental PLLC
• Kind Hearted Hospice Care LLC
• Kindred Spirit Social & Community Services
• Matthew Kwong, DMD
• L4 Family Investments, LLC.
• Samantha Landa

• Dentist in San Juan, TX
• Providers in San Juan, TX by specialty
• Dentist in Texas

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