Organization Active NPI

Wonderland Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Cypress, TX
National Provider Identifier
1689002685
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22646 Issued in TX
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

Updated by the provider on Oct 29, 2013

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.