Fairfield Professional LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19674 Issued in TX

Legal business name

FAIRFIELD PROFESSIONAL LLC

Practice address

28070 Highway 290 Ste 150
Cypress, TX 77433-6921

Phone

(281) 373-4000

NPI assigned

May 19, 2017

Organization subpart

No

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

Authorized official

Name

Tanya Amador

Title

Office Manager

Phone

(713) 694-8800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Quynh Lan Nguyen, DMD

  • General Practice Dentistry
  • Houston, TX
  • NPI 1295710531
  NPD (past)

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740717883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28070 HIGHWAY 290 STE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336921",
            "telephone_number": "281-373-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28070 HIGHWAY 290 STE 150",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774336921",
            "telephone_number": "281-373-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AMADOR",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "713-694-8800"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007805705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fairfield Dentistry PLLC
• Fairfield Emergency Physicians PLLC
• Fairfield Family Physicians, PA
• Fairfield Medical Center LLP
• Fairfield OB-GYN PLLC
• Harry Fairman Jr., MSN RN APRN FNP
• Omobolaji Fakolujo
• Gabriella Falco
• Alma Falcon, NNP-BC
• Family Autism Center LLC

• Dental Clinic/Center in Cypress, TX
• Providers in Cypress, 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 Jul 21, 2022; 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.