Organization Active NPI

Ms Dental PLLC

  • General Practice Dentistry
  • Shenandoah, TX
National Provider Identifier
1609427699
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MS DENTAL PLLC
Practice address
8821 Metropark Dr Ste 1500
Shenandoah, TX 77385-6215
Phone
(617) 281-3189
NPI assigned
Sep 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Kenneth Kim, DMDNPI 1205210929
Title
Owner
Phone
(281) 501-7770

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8821 Metropark Dr Ste 1500
Shenandoah, TX 77385-6215

Mailing address

114 Wild Garden CT
Conroe, TX 77304-5094
Phone (617) 281-3189

Other names 1

  • Aesthetic Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

8821 Metropark Dr
Ste 1500
Shenandoah, TX 77385
Phone (617) 281-3189

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1609427699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WILD GARDEN CT",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773045094",
            "telephone_number": "617-281-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8821 METROPARK DR STE 1500",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773856215",
            "telephone_number": "617-281-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-22",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-501-7770",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aesthetic Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.