NPIMap

Organization Active NPI

Epic Dental Associates

  • Dentist
  • Houston, TX
National Provider Identifier
1700043072
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18800 Issued in TX
Legal business name
EPIC DENTAL ASSOCIATES
Practice address
8800 Katy Frwy
Suite 280
Houston, TX 77024
Phone
(713) 365-9904
Fax
(713) 365-9781
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mrs. Kathleen C Pham, DDS
Title
Owner
Phone
(713) 365-9904

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18800 TX Primary
General Practice Dentistry 1223G0001X 16112 TX

Addresses

Primary practice location

8800 Katy Frwy
Suite 280
Houston, TX 77024

Mailing address

8800 Katy Frwy
Suite 280
Houston, TX 77024
Phone (713) 365-9904

Other identifiers 2

IdentifierTypeStateIssuer
009376702MedicaidTX
090774314MedicaidTX

National Provider Directory

National Provider Directory

Locations

8800 Katy Fwy
Ste 280
Houston, TX 77024
Phone (713) 365-9904

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1700043072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 KATY FRWY",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-365-9904",
            "fax_number": "713-365-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 KATY FRWY",
            "address_2": "SUITE 280",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-365-9904",
            "fax_number": "713-365-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-365-9904",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18800",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009376702",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090774314",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 22, 2008; 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.