Active NPI
Dentalim PLLC
- Dental Clinic/Center
- Cypress, TX
National Provider Identifier
1962010322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DENTALIM PLLC
- Practice address
- 11734 Barker Cypress Rd Ste 113
Cypress, TX 77433-2770 - Phone
- (281) 256-8771
- NPI assigned
- Jul 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ida Ann Varghese
- Title
- DDS
- Phone
- (832) 206-4927
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
11734 Barker Cypress Rd Ste 113
Cypress, TX 77433-2770
Mailing address
11734 Barker Cypress Rd Ste 113
Cypress, TX 77433-2770
Phone (281) 256-8771
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DL-45825847 | Medicaid | TX |
Other names 1
- DENATLIM PLLC
National Provider Directory
National Provider DirectoryLocations
11734 Barker Cypress Rd
Ste 113
Cypress, TX 77433
Phone (281) 256-8771
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Cypress, TX
- NPI 1245753573
-
- Dentist
- Cypress, TX
- NPI 1003929076
-
- General Practice Dentistry
- Auburn, CA
- NPI 1225235062
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595289600000",
"number": "1962010322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11734 BARKER CYPRESS RD STE 113",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774332770",
"telephone_number": "281-256-8771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11734 BARKER CYPRESS RD STE 113",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774332770",
"telephone_number": "281-256-8771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTALIM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-07-21",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A",
"authorized_official_last_name": "VARGHESE",
"authorized_official_first_name": "IDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "832-206-4927",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DL-45825847",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "DENATLIM PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cypress, TX
- Dental Health Associates of Texas, PC
- Dental Health Associates of Texas, PC
- Dental Health Associates of Texas, PC.
- Dental Health Associates of TX, P.C.
- Dental Health Associates of TX, P.C.
- Parupkar Singh Deol
- Ingrid S Deras, LMFT
- Neil Raj Desai, DO
- Pranjal Harendrabhai Desai, M.D.
- Sneha Pranjal Desai, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.