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  7. NPI Record 1558420794

ADVANCE DENTISTRY, P.A
Complete NPI Record 1558420794
Dentist - General Practice in Houston, TX

NPI Status: Active since December 06, 2006

Contact Information

10128 HAMMERLY BLVD
HOUSTON, TX
ZIP 77080
Phone: (713) 464-4774
Fax: (713) 464-6776

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider Business Mailing Address Telephone Number
  11. Provider Business Mailing Address Fax Number
  12. Provider First Line Business Practice Location Address
  13. Provider Business Practice Location Address City Name
  14. Provider Business Practice Location Address State Name
  15. Provider Business Practice Location Address Postal Code
  16. Provider Business Practice Location Address Country Code If outside U S
  17. Provider Business Practice Location Address Telephone Number
  18. Provider Business Practice Location Address Fax Number
  19. Provider Enumeration Date
  20. Last Update Date
  21. Authorized Official Last Name
  22. Authorized Official First Name
  23. Authorized Official Middle Name
  24. Authorized Official Title or Position
  25. Authorized Official Telephone Number
  26. Healthcare Provider Taxonomy Code 1
  27. Healthcare Provider Primary Taxonomy Switch 1
  28. Other Provider Identifier 1
  29. Other Provider Identifier Type Code 1
  30. Other Provider Identifier State 1
  31. Is Organization Subpart
  32. Authorized Official Name Prefix Text
  33. Authorized Official Credential Text
  34. Healthcare Provider Taxonomy Group 1

Complete NPI Dataset

This page represents the complete record for NPI 1558420794. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1558420794
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 10128 HAMMERLY BLVD
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: HOUSTON
The first name of the provider, if the provider is an individual.
Provider Business Mailing Address State Name: TX
The middle name of the provider, if the provider is an individual.
Provider Business Mailing Address Postal Code: 770805010
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider Business Mailing Address Country Code If outside U S : US
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address Telephone Number: 7134644774
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 7134646776
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 10128 HAMMERLY BLVD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Practice Location Address City Name: HOUSTON
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: TX
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 770805010
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7134644774
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7134646776
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 12/6/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 3/4/2009
The city name in the location address of the provider being identified.
Authorized Official Last Name: TO
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: KENNETH
The first name of the authorized official.
Authorized Official Middle Name: HANG
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Authorized Official Title or Position: PRESIDENT
The title or position of the authorized official.
Authorized Official Telephone Number: 7134644774
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 1223G0001X
The telephone number associated with the location address of the provider being identified.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 130704301
Other Provider Identifier Type Code 1: 05
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Other Provider Identifier State 1: TX
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Is Organization Subpart: N
Authorized Official Name Prefix Text: DR.
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No
Authorized Official Credential Text: D.D.S
Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP