Organization Active NPI

Serenity Dental Katy PLLC

Doing business as Serenity Dental

  • Dentist
  • Katy, TX
National Provider Identifier
1598323966
Registry record updated May 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SERENITY DENTAL KATY PLLC
Doing business as
Serenity Dental
Practice address
21927 Clay Rd # 550
Katy, TX 77449-0816
Phone
(832) 301-8433
NPI assigned
May 31, 2019
Last updated
May 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2019

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

Authorized official

Name
Jeffrey Chung
Title
Owner
Phone
(832) 301-8433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

21927 Clay Rd # 550
Katy, TX 77449-0816

Mailing address

17322 Legend Brook CT
Tomball, TX 77375-1065

Other names 1

  • Serenity Dental Doing business as

National Provider Directory

National Provider Directory

Locations

21927 Clay Rd
#550
Katy, TX 77449
Phone (832) 301-8433

NPI Registry JSON

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

{
    "created_epoch": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559260800000",
    "number": "1598323966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17322 LEGEND BROOK CT",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773751065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21927 CLAY RD # 550",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490816",
            "telephone_number": "832-301-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL KATY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-05-31",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-301-8433"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; 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.