Active NPI
Wonderland Pediatric Dentistry PLLC
- Pediatric Dentistry
- Cypress, TX
National Provider Identifier
1689002685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 22646
- Legal business name
- WONDERLAND PEDIATRIC DENTISTRY PLLC
- Practice address
- 10920 Fry Rd
Suite 650
Cypress, TX 77433 - Phone
- (713) 204-7548
- NPI assigned
- Oct 29, 2013
- 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
- Dr. Alice Bui, DDS
- Title
- Dentist/Owner
- Phone
- (713) 204-7548
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 22646 | TX | Primary |
Addresses
Primary practice location
10920 Fry Rd
Suite 650
Cypress, TX 77433
Mailing address
10920 Fry Rd
Suite 650
Cypress, TX 77433
National Provider Directory
National Provider DirectoryLocations
10920 Fry Rd
Ste 650
Cypress, TX 77433
Phone (281) 373-5437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1689002685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10920 FRY RD",
"address_2": "SUITE 650",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10920 FRY RD",
"address_2": "SUITE 650",
"city": "CYPRESS",
"state": "TX",
"postal_code": "77433",
"telephone_number": "713-204-7548"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WONDERLAND PEDIATRIC DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "BUI",
"authorized_official_first_name": "ALICE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "713-204-7548",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "22646",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.