Organization Active NPI

Dentalim PLLC

  • Dental Clinic/Center
  • Cypress, TX
National Provider Identifier
1962010322
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Jul 21, 2020

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

Authorized official

Name
Dr. Ida Ann VargheseNPI 1245753573
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DL-45825847MedicaidTX

Other names 1

  • DENATLIM PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.