Active NPI
Willow Park Dental Center PA
- Dentist
- Houston, TX
National Provider Identifier
1619087970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18838
- Legal business name
- WILLOW PARK DENTAL CENTER PA
- Practice address
- 13715 Tomball Parkway
Houston, TX 77086 - Phone
- (281) 260-8888
- Fax
- (281) 260-8593
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tu Ren, DDS
- Title
- President Dentist
- Phone
- (281) 543-8520
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 18838 | TX | Primary |
Addresses
Primary practice location
13715 Tomball Parkway
Houston, TX 77086
Mailing address
13715 Tomball Parkway
Houston, TX 77086
Phone (281) 543-8520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B188381 | Other | TX | DELTA CHIP |
National Provider Directory
National Provider DirectoryLocations
13715 Tomball Pkwy
Houston, TX 77086
Phone (281) 260-8888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Houston, TX
- NPI 1164575585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1619087970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 TOMBALL PARKWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77086",
"telephone_number": "281-543-8520",
"fax_number": "281-260-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13715 TOMBALL PARKWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77086",
"telephone_number": "281-260-8888",
"fax_number": "281-260-8593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW PARK DENTAL CENTER PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REN",
"authorized_official_first_name": "TU",
"authorized_official_title_or_position": "PRESIDENT DENTIST",
"authorized_official_telephone_number": "281-543-8520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "18838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA CHIP",
"identifier": "B188381",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Jonmeeshia Willliams, SPEECH LANGUAGE PATH
- Opal Willmon, PA
- Anya Willoughby, LVN, DOULA
- Willow Creek Hospice LLC
- Willow Nursing Concierge
- Willow Well Therapy, PLLC
- Willowbend Personal Care Home
- Willowbend Pharma Select LLC
- Willowbrook Ambulatory Surgery Center LP
- Willowbrook Cardiovascular Associates, P.a.
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.