Organization Active NPI

Atascocita Contemporary Dentistry and Orthodontics PC

  • Dentist
  • Humble, TX
National Provider Identifier
1952934176
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ATASCOCITA CONTEMPORARY DENTISTRY AND ORTHODONTICS PC
Practice address
6730 Atascocita Rd Ste 111
Humble, TX 77346-1995
Phone
(281) 359-5551
Fax
(281) 359-5516
NPI assigned
Feb 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Authorized official

Name
Shunda Thompson, DDS
Title
Orthodontist
Phone
(281) 359-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6730 Atascocita Rd Ste 111
Humble, TX 77346-1995

Mailing address

134 Vintage Park Blvd Ste Abox14
Houston, TX 77070-3998

Other identifiers 1

IdentifierTypeStateIssuer
14346842OtherCAQH

National Provider Directory

National Provider Directory

Locations

134 Vintage Park Blvd
Ste ABOX14
Houston, TX 77070

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581897600000",
    "number": "1952934176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 VINTAGE PARK BLVD STE ABOX14",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 ATASCOCITA RD STE 111",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461995",
            "telephone_number": "281-359-5551",
            "fax_number": "281-359-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATASCOCITA CONTEMPORARY DENTISTRY AND ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "SHUNDA",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "281-359-5551",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14346842",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; 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.