Individual provider Active NPI

Chrishelle Williams Hemphill, D.D.S., M.B.A.

  • Pediatric Dentistry
  • Houston, TX
National Provider Identifier
1659523348
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
33605 Issued in TX
Practice address
9355 Katy Fwy
Houston, TX 77024-1516
Phone
(713) 999-0919
NPI assigned
Oct 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 6416 LA
Pediatric Dentistry 1223P0221X 33605 TX Primary

Addresses

Primary practice location

9355 Katy Fwy
Houston, TX 77024-1516

Mailing address

3333 Southfork Pkwy Apt 912
Manvel, TX 77578-3773
Phone (318) 564-0595

Other practice location 1

1297 Shreveport Barksdale Hwy
Shreveport, LA 71105-2405
Phone (318) 865-8844

Other practice location 2

6710 Spring Stuebner Rd Ste 700
Spring, TX 77389-5197
Phone (281) 791-0043

Other identifiers 1

IdentifierTypeStateIssuer
2893687MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180126000313 TX Order and Referring Only - DentistPractitioner - Dentist 2860751542

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
6416LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Spring Klein Dentistry,PC Past Accepting new patients

Organizations & group practices 2

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1659523348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 SOUTHFORK PKWY APT 912",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783773",
            "telephone_number": "318-564-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9355 KATY FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241516",
            "telephone_number": "713-999-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1297 Shreveport Barksdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052405",
            "country_code": "US",
            "telephone_number": "318-865-8844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 Spring Stuebner Rd Ste 700",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773895197",
            "country_code": "US",
            "telephone_number": "281-791-0043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "CHRISHELLE",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.B.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "LA",
            "license": "6416",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "33605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2893687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.