Active NPI
Kenneth Duvall, PLLC
- Dentist
- Sugar Land, TX
National Provider Identifier
1659773497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 15403
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.