Tomball Family Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24722 Issued in TX

Legal business name

TOMBALL FAMILY DENTAL

Practice address

14060 FM 2920 Rd
Suite H
Tomball, TX 77377-5502

Phone

(281) 389-2720

NPI assigned

Jul 29, 2011

Last updated

Oct 17, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Audra Leann Hiemstra, D.D.S.NPI 1356578645

Title

P.C.

Phone

(281) 389-2720

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Audra Leann Hiemstra, D.D.S.

  • Dentist
  • Tomball, TX
  • NPI 1356578645
  NPD (past) Authorized official

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318809600000",
    "number": "1780962456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 FM 2920 RD",
            "address_2": "SUITE H",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775549",
            "telephone_number": "281-516-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14060 FM 2920 RD",
            "address_2": "SUITE H",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773775502",
            "telephone_number": "281-389-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOMBALL FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-10-17",
        "status": "A",
        "authorized_official_last_name": "HIEMSTRA",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_middle_name": "LEANN",
        "authorized_official_title_or_position": "P.C.",
        "authorized_official_telephone_number": "281-389-2720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tomball Express Medical Center, LLC (Emerus Community Hospital)
• Tomball Express Medical Center, LP
• Tomball Family Eye Care Inc.
• Tomball Foot and Ankle Center PC
• Tomball Gastroenterology Associates P.a
• Tomball Health Medical Clinic PLLC
• Tomball Healthcare for Pediatrics

• General Practice Dentistry in Tomball, TX
• Providers in Tomball, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2011; 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.