Organization Active NPI

Winchester Dental Admin

  • Dentist
  • Houston, TX
National Provider Identifier
1750765145
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WINCHESTER DENTAL ADMIN
Practice address
9447 Jones Rd
Houston, TX 77065
Phone
(281) 970-4000
Fax
(281) 213-4105
NPI assigned
Jul 15, 2015
Organization subpart
Yes
Parent organization
WINCHESTER DENTAL ADMINAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Dr. Christopher Michael Blume, DDS
Title
Dentist
Phone
(281) 970-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

9447 Jones Rd
Houston, TX 77065

Mailing address

13611 Skinner Rd
Suite 100
Sypress, TX 77429-2797
Phone (281) 970-4000

Other names 1

  • Winchester Dental Admin Former legal business name

National Provider Directory

National Provider Directory
Part of
Winchester Dental Admin

Locations

9447 Jones Rd
Houston, TX 77065
Phone (281) 970-4000

Practitioners & affiliated clinicians

Practitioners 1

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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1750765145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13611 SKINNER RD",
            "address_2": "SUITE 100",
            "city": "SYPRESS",
            "state": "TX",
            "postal_code": "774292797",
            "telephone_number": "281-970-4000",
            "fax_number": "281-213-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9447 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-970-4000",
            "fax_number": "281-213-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINCHESTER DENTAL ADMIN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINCHESTER DENTAL ADMIN",
        "enumeration_date": "2015-07-15",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BLUME",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-970-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winchester Dental Admin",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Winchester Dental Admin",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 13, 2020; 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.