Organization Active NPI

Cherrystone Dental, PLLC

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1851710339
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28519 Issued in TX
Legal business name
CHERRYSTONE DENTAL, PLLC
Practice address
6380 Louetta Rd
Spring, TX 77379-7589
Phone
(281) 288-1500
NPI assigned
Apr 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Dr. Christopher Kim, DDSNPI 1295990331
Title
Owner Doctor
Phone
(213) 703-0104

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 28519 TX Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 28520 TX

Addresses

Primary practice location

6380 Louetta Rd
Spring, TX 77379-7589

Mailing address

6380 Louetta Rd
Spring, TX 77379-7589
Phone (281) 288-1500

Other names 1

  • SpringLove Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

6380 Louetta Rd
Spring, TX 77379
Phone (281) 288-1500

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1851710339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6380 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797589",
            "telephone_number": "281-288-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6380 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797589",
            "telephone_number": "281-288-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRYSTONE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "213-703-0104",
        "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": "28519",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28520",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpringLove Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.