Payton Canchola, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

34528 Issued in TX

Practice address

94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049

Phone

(832) 990-7757

NPI assigned

May 29, 2018

Last updated

Feb 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Payton Canchola DDS PA

  dba Canchola Dentistry

  • Dentist
  • Katy, TX
  • NPI 1912762535
  NPD
• Tippit Dental Group Bellville PLLC

  • Dental Clinic/Center
  • Bellville, TX
  • NPI 1316620842
  NPD (past)

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1821589581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HERITAGE TRL",
            "city": "BELLVILLE",
            "state": "TX",
            "postal_code": "774189300",
            "telephone_number": "979-877-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W GRAND PKWY S STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947049",
            "telephone_number": "832-990-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCHOLA",
        "first_name": "PAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-29",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "34528",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rafael E Campos Ros, M.D.
• Diana Campos, PSY.D
• Jose Campos, L.C.S.A.
• Natalie Elizabeth Campos
• Alton Canady, D.C.
• Cane Island Care Center, LP (Cane Island Post Acute Care Center)
• Alexis Cannon
• Simone JN-Marie Cannon, LPC
• Javier Cano
• Cantex Home Health Katy LLC (Theracare Home Health)

• Dentist in Katy, TX
• Providers in Katy, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.