Organization Active NPI

Cinco Ranch Endodontics

  • Endodontics
  • Katy, TX
National Provider Identifier
1851563183
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
23109 Issued in TX
Legal business name
CINCO RANCH ENDODONTICS
Practice address
23922 Cinco Village Center Blvd
Suite 240
Katy, TX 77494-6619
Phone
(281) 371-3636
Fax
(281) 371-3640
NPI assigned
Mar 26, 2008
Last updated
Sep 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Dr. Bryan Berteaux, DMDNPI 1689899650
Title
Owner
Phone
(281) 371-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 23109 TX Primary

Addresses

Primary practice location

23922 Cinco Village Center Blvd
Suite 240
Katy, TX 77494-6619

Mailing address

23922 Cinco Village Center Blvd
Suite 240
Katy, TX 77494-6619
Phone (281) 371-3636

National Provider Directory

National Provider Directory

Locations

23922 Cinco Village Center Blvd
Ste 240
Katy, TX 77494
Phone (281) 371-3636

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1851563183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23922 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946619",
            "telephone_number": "281-371-3636",
            "fax_number": "281-371-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23922 CINCO VILLAGE CENTER BLVD",
            "address_2": "SUITE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946619",
            "telephone_number": "281-371-3636",
            "fax_number": "281-371-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCO RANCH ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "BERTEAUX",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-371-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "23109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.