Active NPI
Philip J Cimo DDS PA
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1841608981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20357
- Legal business name
- PHILIP J CIMO DDS PA
- Practice address
- 650 W Bough LN Ste 160
Houston, TX 77024-4099 - Phone
- (713) 464-1887
- NPI assigned
- Jul 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Philip Joseph Cimo, DDS
- Title
- Owner
- Phone
- (713) 464-1887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20357 | TX | Primary |
Addresses
Primary practice location
650 W Bough LN Ste 160
Houston, TX 77024-4099
Mailing address
650 W Bough LN Ste 160
Houston, TX 77024-4099
Phone (713) 464-1887
National Provider Directory
National Provider DirectoryLocations
650 W Bough Ln
Ste 160
Houston, TX 77024
Phone (713) 464-1887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1406764800000",
"number": "1841608981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 W BOUGH LN STE 160",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244099",
"telephone_number": "713-464-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W BOUGH LN STE 160",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770244099",
"telephone_number": "713-464-1887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHILIP J CIMO DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-31",
"last_updated": "2014-07-31",
"status": "A",
"authorized_official_last_name": "CIMO",
"authorized_official_first_name": "PHILIP",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "713-464-1887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.