Organization Active NPI

Bla Dental PLLC

Doing business as Advance Dental

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1720384886
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BLA DENTAL PLLC
Doing business as
Advance Dental
Practice address
2145 FM 1960 Rd W
Houston, TX 77090-3103
Phone
(281) 880-8771
NPI assigned
Feb 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Authorized official

Name
Dr. Bryan Chu, DDSNPI 1497830608
Title
Owner
Phone
(281) 880-8771

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2145 FM 1960 Rd W
Houston, TX 77090-3103

Mailing address

2145 FM 1960 Rd W
Houston, TX 77090-3103
Phone (281) 880-8771

Other names 1

  • Advance Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2145 FM 1960 Rd W
Houston, TX 77090
Phone (281) 880-8771

Practitioners & affiliated clinicians

Practitioners 2

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": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1720384886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903103",
            "telephone_number": "281-880-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903103",
            "telephone_number": "281-880-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-880-8771",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Dental",
            "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 Feb 7, 2011; 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.