NPIMap

Organization Active NPI

Katy Modern Dentistry and Orthodontics PC

Doing business as Katy Modern Dentistry and Orthodontics

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1629334917
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KATY MODERN DENTISTRY AND ORTHODONTICS PC
Doing business as
Katy Modern Dentistry and Orthodontics
Practice address
25621 Nelson Way
Suite 110
Katy, TX 77494
Phone
(281) 392-8222
Fax
(281) 392-7722
NPI assigned
Apr 11, 2012
Last updated
Dec 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. John S Barnes, DDS
Title
DDS-Owner
Phone
(281) 392-8222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

25621 Nelson Way
Suite 110
Katy, TX 77494

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • Katy Modern Dentistry and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

25621 Nelson Way
Ste 110
Katy, TX 77494
Phone (281) 392-8222

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1629334917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25621 NELSON WAY",
            "address_2": "SUITE 110",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-392-8222",
            "fax_number": "281-392-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATY MODERN DENTISTRY AND ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DDS-OWNER",
        "authorized_official_telephone_number": "281-392-8222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Katy Modern Dentistry and Orthodontics",
            "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 Dec 31, 2013; 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.