NPIMap

Organization Active NPI

Kingsland Dental Group

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1750657102
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24098 Issued in TX
Legal business name
KINGSLAND DENTAL GROUP
Practice address
21681 Kingsland Blvd
Katy, TX 77450-2512
Phone
(281) 646-8888
NPI assigned
Mar 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Valeria Musetti, DDS
Title
Owner
Phone
(713) 504-2627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24098 TX Primary

Addresses

Primary practice location

21681 Kingsland Blvd
Katy, TX 77450-2512

Mailing address

21681 Kingsland Blvd
Katy, TX 77450-2512
Phone (281) 646-8888

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1750657102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21681 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502512",
            "telephone_number": "281-646-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21681 KINGSLAND BLVD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502512",
            "telephone_number": "281-646-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSLAND DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MUSETTI",
        "authorized_official_first_name": "VALERIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-504-2627",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.