Organization Active NPI

Adventure Family Dentistry, PLLC

  • Dental Clinic/Center
  • South Houston, TX
National Provider Identifier
1598813289
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
17066 Issued in TX
Legal business name
ADVENTURE FAMILY DENTISTRY, PLLC
Practice address
701 College Ave
South Houston, TX 77587-4205
Phone
(713) 941-7555
Fax
(713) 941-7527
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charisse M. Walker-Cobbs, DDS
Title
Owner
Phone
(713) 941-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 17066 TX Primary

Addresses

Primary practice location

701 College Ave
South Houston, TX 77587-4205

Mailing address

701 College Ave
South Houston, TX 77587-4205
Phone (713) 941-7555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598813289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-941-7555",
            "fax_number": "713-941-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 COLLEGE AVE",
            "city": "SOUTH HOUSTON",
            "state": "TX",
            "postal_code": "775874205",
            "telephone_number": "713-941-7555",
            "fax_number": "713-941-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER-COBBS",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-941-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "17066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.