Icare Dental

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ICARE DENTAL

Practice address

5425 Highway 6 Ste C100
Missouri City, TX 77459-4390

Phone

(281) 261-8258

NPI assigned

Jul 24, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Cong Peng, DMDNPI 1750875662

Title

Dentist

Phone

(781) 627-6588

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cong Peng, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Galveston, TX
  • NPI 1750875662
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658620800000",
    "number": "1811622707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 LEONA CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775848725",
            "telephone_number": "781-627-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 HIGHWAY 6 STE C100",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594390",
            "telephone_number": "281-261-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-24",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A",
        "authorized_official_last_name": "PENG",
        "authorized_official_first_name": "CONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "781-627-6588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.