Individual provider Active NPI

Katya Kulic, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1780962860
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27256 Issued in TX
Practice address
9655 Katy Fwy Ste 160
Houston, TX 77024-1383
Phone
(281) 888-0921
NPI assigned
Jul 24, 2011
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27256 TX Primary

Addresses

Primary practice location

9655 Katy Fwy Ste 160
Houston, TX 77024-1383

Mailing address

9655 Katy Fwy Ste 160
Houston, TX 77024-1386
Phone (281) 888-0921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160707000600 TX Practitioner - Oral Surgery 4587956800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27256TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Le Blanc Cosmetic Dentistry and Aesthetics PLLC General Practice CurrentSince May 1, 2023 Accepting new patients
Mobile Anesthesiologists of Houston, PLLC Past Accepting new patients
Soumava Sen, DD, P.C. PastSince Jul 25, 2021 Accepting new patients
NBNL Dental PLLC General Practice PastSince Sep 13, 2020 Accepting new patients

Locations

9655 Katy Fwy
Ste 160
Houston, TX 77024
Phone (281) 888-0921

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1780962860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9655 KATY FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241386",
            "telephone_number": "281-888-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9655 KATY FWY STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241383",
            "telephone_number": "281-888-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIC",
        "first_name": "KATYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.