Organization Active NPI

Lake Olympia Dental

  • General Practice Dentistry
  • Missouri City, TX
National Provider Identifier
1639876642
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LAKE OLYMPIA DENTAL
Practice address
1021 Lake Olympia Pkwy Ste 800
Missouri City, TX 77459-5449
Phone
(281) 848-8822
Fax
(281) 843-8802
NPI assigned
Feb 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Dr. James Dinh, DDSNPI 1306375068
Title
Dentist Owner
Phone
(260) 444-9861

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

1021 Lake Olympia Pkwy Ste 800
Missouri City, TX 77459-5449

Mailing address

1021 Lake Olympia Pkwy Ste 800
Missouri City, TX 77459-5584
Phone (818) 488-8222

National Provider Directory

National Provider Directory

Locations

1021 Lake Olympia Pkwy
Ste 800
Missouri City, TX 77459
Phone (281) 848-8822

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": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1639876642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 LAKE OLYMPIA PKWY STE 800",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595584",
            "telephone_number": "818-488-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 LAKE OLYMPIA PKWY STE 800",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595449",
            "telephone_number": "281-848-8822",
            "fax_number": "281-843-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE OLYMPIA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "260-444-9861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.