Individual provider Active NPI

Polly Kiang, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1740338342
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15337 Issued in TX
Practice address
6100 Corporate Dr
Suite 410
Houston, TX 77036-3419
Phone
(713) 779-1127
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15337 TX Primary

Addresses

Primary practice location

6100 Corporate Dr
Suite 410
Houston, TX 77036-3419

Mailing address

2907 Planters St
Sugar Land, TX 77479-1821
Phone (713) 779-1127

Other identifiers 1

IdentifierTypeStateIssuer
B15337-01OtherTXTEXAS CHIP PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15337TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740338342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 PLANTERS ST",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791821",
            "telephone_number": "713-779-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 CORPORATE DR",
            "address_2": "SUITE 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770363419",
            "telephone_number": "713-779-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIANG",
        "first_name": "POLLY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS CHIP PROVIDER #",
            "identifier": "B15337-01",
            "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 Jul 9, 2007; 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.