Organization Active NPI

Cinco Ranch Smiles & Braces PLLC

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1952814824
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CINCO RANCH SMILES & BRACES PLLC
Practice address
3030 Falcon Landing Blvd Ste 400
Katy, TX 77494
Phone
(281) 394-1811
NPI assigned
Nov 14, 2017
Last updated
Nov 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Ryan D Menezes, DMDNPI 1609121482
Title
Dentist
Phone
(281) 394-1811

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3030 Falcon Landing Blvd Ste 400
Katy, TX 77494

Mailing address

15255 Vintage Preserve Pkwy Apt 1140
Houston, TX 77070-2295
Phone (832) 217-9721

National Provider Directory

National Provider Directory

Locations

3030 Falcon Landing Blvd
Ste 400
Katy, TX 77494
Phone (281) 394-1811

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": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1952814824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 VINTAGE PRESERVE PKWY APT 1140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702295",
            "telephone_number": "832-217-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 FALCON LANDING BLVD STE 400",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-394-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CINCO RANCH SMILES & BRACES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "MENEZES",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "281-394-1811",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Nov 14, 2017; 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.