Organization Active NPI

Payton Canchola DDS PA

Doing business as Canchola Dentistry

  • Dentist
  • Katy, TX
National Provider Identifier
1912762535
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PAYTON CANCHOLA DDS PA
Doing business as
Canchola Dentistry
Practice address
94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049
Phone
(281) 832-2278
NPI assigned
Feb 14, 2024
Last updated
Feb 28, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Ms. Tania Impastato
Title
Practice Administrator
Phone
(128) 183-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049

Mailing address

94 W Grand Pkwy S Ste 240
Katy, TX 77494-7049
Phone (281) 832-2278

Other names 1

  • Canchola Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

94 W Grand Pkwy S
Ste 240
Katy, TX 77494
Phone (281) 346-9901

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": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1912762535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 W GRAND PKWY S STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947049",
            "telephone_number": "281-832-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 W GRAND PKWY S STE 240",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947049",
            "telephone_number": "281-832-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYTON CANCHOLA DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "IMPASTATO",
        "authorized_official_first_name": "TANIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "128-183-2227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canchola Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 28, 2024; 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.