Organization Active NPI

Children 1St Houston South, LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
National Provider Identifier
1871926428
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
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, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2163296Children 1St Houston South, LLC8545 Gulf Freeway, Houston, TX 77017Certificate of waiverMar 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.

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

Verify at the official NPI Registry.