The Dentists at Grand Parkway, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

THE DENTISTS AT GRAND PARKWAY, PLLC

Practice address

1575 W Grand Pkwy S Ste 1200
Katy, TX 77494-8313

Phone

(281) 395-1700

NPI assigned

Jul 22, 2019

Organization subpart

No

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

Authorized official

Name

Amanda Lightfoot

Title

Authorized Representative

Phone

(214) 702-0708

Specialties & licenses 1

Addresses

Other names 1

• The Dentists At Grand Parkway Doing business as

Locations

Practitioners 4

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

• Lorraine Vinitha Jacob, D.D.S.

  • General Practice Dentistry
  • Katy, TX
  • NPI 1225359003
  NPD (past)
• Julie Wathen Long, DDS PA

  • Dentist
  • Katy, TX
  • NPI 1295830537
  NPD (past)
• Ruben Dario Martin Jr.

  • Periodontics
  • Houston, TX
  • NPI 1932709987
  NPD (past)
• Ivy Bass Mitcham, DDS

  • Dentist
  • Katy, TX
  • NPI 1235238221
  NPD (past)

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1710530449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483323",
            "telephone_number": "214-702-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 W GRAND PKWY S STE 1200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774948313",
            "telephone_number": "281-395-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTISTS AT GRAND PARKWAY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0708"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Dentists At Grand Parkway",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Dentists At Grand Parkway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Brown'S Caring Hearts Center
• The Chiro Haus, PLLC
• The Comfort Crew Home Health Services LLC
• The Counseling Compass, PLLC
• The Dentists at Grand Parkway
• The Dynamic Tranist Services LLC
• The First Step Academy of Texas Inc
• The Fraser Foundation Home
• The Katy DBT Center
• The Kris Hutchinson Group, LLC

• General Practice Dentistry in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; 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.