Organization Active NPI

Amy L. Ridall, DDS PA

Doing business as Dental Specialists of Westchase

  • Prosthodontics
  • Houston, TX
National Provider Identifier
1699787432
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18563 Issued in TX
Legal business name
AMY L. RIDALL, DDS PA
Doing business as
Dental Specialists of Westchase
Practice address
10080 Bellaire Boulevard
Ste 210
Houston, TX 77072
Phone
(281) 575-0742
Fax
(281) 575-0298
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Dr. Amy L Ridall, DDS, PHDNPI 1164700852
Title
President/Treasurer
Phone
(713) 271-5942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18563 TX Primary

Addresses

Primary practice location

10080 Bellaire Boulevard
Ste 210
Houston, TX 77072

Mailing address

10080 Bellaire Boulevard
Ste 210
Houston, TX 77072
Phone (281) 575-0742

Other names 1

  • Dental Specialists of Westchase Doing business as

National Provider Directory

National Provider Directory

Locations

10080 Bellaire Blvd
Ste 210
Houston, TX 77072
Phone (281) 575-0742

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1699787432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BOULEVARD",
            "address_2": "STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "281-575-0742",
            "fax_number": "281-575-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10080 BELLAIRE BOULEVARD",
            "address_2": "STE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "281-575-0742",
            "fax_number": "281-575-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY L. RIDALL, DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "RIDALL",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "713-271-5942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, PHD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialists of Westchase",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.