Organization Active NPI

Children 1St Houston West, LLC

Doing business as Children 1st Dental & Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1821425430
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
CHILDREN 1ST HOUSTON WEST, LLC
Doing business as
Children 1st Dental & Surgery Center
Practice address
8700 S Gessner Dr. Suite 200
Houston, TX 77074
Phone
(214) 412-1500
Fax
(214) 412-1510
NPI assigned
Sep 27, 2013
Organization subpart
Yes
Parent organization
DENTAL ASC, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Authorized official

Name
Craig O. Jacobs, D.P.M.
Title
Managing Member
Phone
(972) 279-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

8700 S Gessner Dr. Suite 200
Houston, TX 77074

Mailing address

3055 Bardin Rd Ste 400
Grand Prairie, TX 75052-3819
Phone (214) 412-1500

Other names 1

  • Children 1st Dental & Surgery Center Doing business as

National Provider Directory

National Provider Directory
Part of
Dental ASC LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1821425430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 BARDIN RD STE 400",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523819",
            "telephone_number": "214-412-1500",
            "fax_number": "214-412-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 S GESSNER DR. SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77074",
            "telephone_number": "214-412-1500",
            "fax_number": "214-412-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN 1ST HOUSTON WEST, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL ASC, LLC",
        "enumeration_date": "2013-09-27",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-279-1200",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children 1st Dental & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Children 1st Dental & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.