Cedar Park Periodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

25248 Issued in TX

Legal business name

CEDAR PARK PERIODONTICS

Practice address

1803 Briarpark Dr
Houston, TX 77042-2101

Phone

(617) 283-6428

NPI assigned

Jan 28, 2015

Organization subpart

No

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

Authorized official

Name

Prathima Vemulapalli, DMD, MMSC

Title

Owner

Phone

(617) 283-6428

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422403200000",
    "number": "1740670769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BRIARPARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 BRIARPARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422101",
            "telephone_number": "617-283-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK PERIODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A",
        "authorized_official_last_name": "VEMULAPALLI",
        "authorized_official_first_name": "PRATHIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-283-6428",
        "authorized_official_credential": "DMD, MMSC"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "25248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alana Claire Cecchi, MS, CGC
• Cece Hospice LLC
• David Cech, MD
• Cecil S.T. Yeung, MD Facs and Associates
• Cedar Health Care
• Cedar Springs Home Care LLC
• Cedar-Grace Living Inc
• Ramon Cedeno Safont
• Julia Antoniana Cedeno, LCSW
• Ceder Healthcare Services Inc

• Dental Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.