KP DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24836 Issued in TX

Legal business name

KP DDS PLLC

Doing business as

Magic Dental Two

Practice address

6052 N Fry Rd
Suite G
Katy, TX 77449-1882

Phone

(832) 659-5623

NPI assigned

Dec 28, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Vu Phan, DDS

Title

President

Phone

(832) 659-5623

Specialties & licenses 1

Addresses

Other names 1

• MAGIC DENTAL TWO Doing business as

Locations

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356739200000",
    "number": "1760728489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6052 N FRY RD",
            "address_2": "SUITE G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491882",
            "telephone_number": "832-659-5623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6052 N FRY RD",
            "address_2": "SUITE G",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491882",
            "telephone_number": "832-659-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-29",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "VU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-659-5623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGIC DENTAL TWO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Susan Kouba, APN
• Nadezda Kovalevskaya
• Hannah Dakin Kovar, MD
• Patricia L Kowalec
• Janice Annette Kowalis
• KR&Suns PLLC (Smile Rangers Dental)
• Emalee Kraft
• Kelly Kral-McDaniel
• Tobi Kathryn Kramer, RPH
• Braydon H Kratz, DDS PA

• Dentist in Katy, TX
• Providers in Katy, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.