Active NPI
Children 1St Houston South, LLC
- Ambulatory Surgical Clinic/Center
- Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHILDREN 1ST HOUSTON SOUTH, LLC
- Practice address
- 8545 Gulf Fwy
Houston, TX 77017 - Phone
- (214) 412-1500
- NPI assigned
- Aug 19, 2013
- Organization subpart
- Yes
- Parent organization
- DENTAL ASC, LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Devin Larsen
- Title
- Ceo
- Phone
- (208) 340-1840
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
8545 Gulf Fwy
Houston, TX 77017
Mailing address
9709 Lakeside Blvd Ste 350
Spring, TX 77381-1213
Phone (713) 489-2198
Other names 1
- Children 1st Dental & Surgery Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241023004469 | TX | Part B Supplier - Ambulatory Surgical Center | 7517182025 | Practice locations: Houston, TX |
Ambulatory surgical center certification: CCN 45C0451314
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- Children 1st Dental & Surgery Center
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- May 21, 2025
- Last certification
- Apr 17, 2025
- Ownership / control type
- Proprietary
- Facility address
- 8545 Gulf Freeway
Houston, TX 77017
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2163296 | Children 1St Houston South, LLC | Certificate of waiver | Mar 11, 2027 |
National Provider Directory
National Provider Directory- Part of
- Dental ASC LLC
Locations
3055 Bardin Rd
Ste 400
Grand Prairie, TX 75052
Phone (214) 412-1500
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.
-
- Ambulatory Surgical Clinic/Center
- Mesquite, TX
- NPI 1407137763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1871926428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9709 LAKESIDE BLVD STE 350",
"city": "SPRING",
"state": "TX",
"postal_code": "773811213",
"telephone_number": "713-489-2198",
"fax_number": "713-489-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8545 GULF FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77017",
"telephone_number": "214-412-1500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN 1ST HOUSTON SOUTH, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL ASC, LLC",
"enumeration_date": "2013-08-19",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "LARSEN",
"authorized_official_first_name": "DEVIN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "208-340-1840"
},
"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"
}
]
}
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 Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.