Individual provider Active NPI

Kara Small, DDS

  • Dentist
  • Humble, TX
National Provider Identifier
1629422969
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31766 Issued in TX
Practice address
9630 N. Sam Houston Parkway E
Building B
Humble, TX 77396-7739
Phone
(281) 359-9900
Fax
(281) 359-9903
NPI assigned
Apr 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31766 TX Primary

Addresses

Primary practice location

9630 N. Sam Houston Parkway E
Building B
Humble, TX 77396-7739

Mailing address

2001 Westheimer Rd Apt 521
Houston, TX 77098-1649
Phone (281) 799-7714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 4, 2022 through Oct 4, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at Houston Dentist PastSince Nov 24, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582761600000",
    "number": "1629422969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTHEIMER RD APT 521",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981649",
            "telephone_number": "281-799-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 N. SAM HOUSTON PARKWAY E",
            "address_2": "BUILDING B",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773967739",
            "telephone_number": "281-359-9900",
            "fax_number": "281-359-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALL",
        "first_name": "KARA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.