Organization Active NPI

Kenneth Duvall, PLLC

  • Dentist
  • Sugar Land, TX
National Provider Identifier
1659773497
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15403 Issued in TX
Legal business name
KENNETH DUVALL, PLLC
Practice address
4840 Sweetwater Blvd
Sugar Land, TX 77479-3402
Phone
(281) 565-4900
NPI assigned
Sep 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Amy Cloud
Title
Office Manager
Phone
(281) 565-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 15403 TX Primary

Addresses

Primary practice location

4840 Sweetwater Blvd
Sugar Land, TX 77479-3402

Mailing address

PO Box 17837
Sugar Land, TX 77496-7837
Phone (281) 565-4900

National Provider Directory

National Provider Directory

Locations

4840 Sweetwater Blvd
Sugar Land, TX 77479
Phone (281) 565-4900

NPI Registry JSON

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1659773497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17837",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774967837",
            "telephone_number": "281-565-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 SWEETWATER BLVD",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793402",
            "telephone_number": "281-565-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH DUVALL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "CLOUD",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "281-565-4900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.