Organization Active NPI

Mason Creek Dental PC

  • Dental Clinic/Center
  • Katy, TX
National Provider Identifier
1760854673
Registry record updated Oct 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
21556 Issued in TX
Legal business name
MASON CREEK DENTAL PC
Practice address
1230 N Mason Road
Suite 1000
Katy, TX 77449
Phone
(281) 492-0600
NPI assigned
Oct 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2015

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

Authorized official

Name
Sergio Fabian Paluk, DDS MS
Title
Dentist
Phone
(713) 398-2882

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 21556 TX Primary

Addresses

Primary practice location

1230 N Mason Road
Suite 1000
Katy, TX 77449

Mailing address

1901 Post Oak Blvd
506
Houston, TX 77056-3868
Phone (713) 398-2882

National Provider Directory

National Provider Directory

Locations

1230 N Mason Rd
Ste 1000
Katy, TX 77449
Phone (281) 492-0600

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": "1446163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446163200000",
    "number": "1760854673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 POST OAK BLVD",
            "address_2": "506",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563868",
            "telephone_number": "713-398-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 N MASON ROAD",
            "address_2": "SUITE 1000",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77449",
            "telephone_number": "281-492-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON CREEK DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-30",
        "last_updated": "2015-10-30",
        "status": "A",
        "authorized_official_last_name": "PALUK",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_middle_name": "FABIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-398-2882",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "21556",
            "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 Oct 30, 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.