Cypress Creek Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

20264 Issued in TX

Legal business name

CYPRESS CREEK DENTAL PLLC

Practice address

27118 Windy Grove LN
Cypress, TX 77433-7570

Phone

(281) 639-4831

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Shabbir Yahya Boxwalla, DDS

Title

Member

Phone

(281) 639-4831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1689002164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27118 WINDY GROVE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337570",
            "telephone_number": "281-639-4831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27118 WINDY GROVE LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774337570",
            "telephone_number": "281-639-4831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "BOXWALLA",
        "authorized_official_first_name": "SHABBIR",
        "authorized_official_middle_name": "YAHYA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "281-639-4831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Cypress, TX
• Providers in Cypress, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.