DR. TEPPHANIE PHIMEANS THACH (NPI# 1073673281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073673281 |
| Entity Type | Individual |
| Full Name | DR. TEPPHANIE PHIMEANS THACH |
| Credential | DMD |
| Practice Address |
383 Greens Rd Ste A Houston TX 77060-1907 |
| Mailing Address |
6300 West Loop S Ste 650 Bellaire TX 77401-2997 |
| Practice Telephone | 2818723777 |
| Mailing Telephone | 7136637960 |
| Mailing Fax Number | 7133498027 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0023074 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN012969 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AVESIS MEDICAID | 100201 | 01 |
| GA | DORAL MEDICAID | 9181147 | 01 |
| GA | 609422190A | 05 |
| Street Address |
383 GREENS RD STE A |
| City | HOUSTON |
| State | TX |
| Zip Code | 77060-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548801368 | Sami Tawila | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2019-10-02 |
| 1720552813 | Brident Dental Associates PC | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2019-01-11 |
| 1235412362 | Marjon Nayeb-hashemi | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2011-09-26 |
| 1497067532 | Daniel Anthony Escobedo | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2010-07-06 |
| 1508084906 | South Texas Dental Associates, L.p. | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2007-04-23 |
| 1093857807 | Joe Arthur Shumate | Dentist | 383 Greens Rd Ste A, Houston, TX 77060-1907 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822762 | Salvations Hospice | Hospice Care, Community Based | 215 W. Alabama Street, Suite 102, Houston, TX 77060 | 2020-05-14 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1124664685 | Leah Haynes | Technician | 514 Connorval Ln, Houston, TX 77060 | 2019-11-20 |
| 1932680576 | Jacky Thai | Physical Therapy Assistant | 11120 North Fwy, Houston, TX 77060 | 2018-08-22 |
| 1881174852 | Wesley Healthcare, LLC | Hospice Care, Community Based | 650 Sam Houston Pkwy E. Suite 210, Houston, TX 77060 | 2018-08-18 |
| 1184133506 | Rising Transportation | Non-emergency Medical Transport (VAN) | 519 N. Sam Houston Pkwy East, Ste. 450-o, Houston, TX 77060 | 2017-09-28 |
| 1205356524 | Savoy-nicholas Outreach Services, Inc. | Community/Behavioral Health | 525 N. Sam Houston Parkway E. Suite 416, Houston, TX 77060 | 2017-06-27 |
| 1942736533 | Pediatric Home Healthcare | Home Health | 363 N Sam Houston Pkwy E Ste 340, Houston, TX 77060 | 2017-05-03 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1982084208 | Texas Family Hospice and Palliative Care | Hospice Care, Community Based | 426 Alvin Bender, Ste C, Houston, TX 77060 | 2015-06-02 |
| Find all providers in zip 77060 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1760041578 | Beloved Dental Pllc | Dentist | 4130 Bellaire Blvd, Suite 214, Houston, TX 77025 | 2019-06-06 |
| 1245894294 | Gac Dental Pllc | Dentist | 9540 South Main St., Ste 100, Houston, TX 77025 | 2019-04-25 |
| 1831679976 | Dentini Pediatric Dentistry | Dentist | 2723 Yale Street, Suite 104, Houston, TX 77008 | 2018-08-17 |
| 1851887848 | Michael Posada Dmd, Pllc | Dentist | 2990 Richmond Ave Ste 170, Houston, TX 77098-3109 | 2018-07-03 |
| 1568955052 | Rm Dental Pllc | Dentist | 6500 North Fwy Ste 124, Houston, TX 77076-2941 | 2018-06-11 |
| 1962991927 | Houston Red Oak Drive Dental, PC | Dentist | 17222 Red Oak Dr Ste 104, Houston, TX 77090-2614 | 2018-05-05 |
| 1669970950 | Houston Pediatric Dental Partners | Dentist | 5252 Westchester St Ste 190, Houston, TX 77005-4144 | 2018-02-01 |
| 1821443771 | Antonio Dario Cardenas | Dentist | 8333 Braesmain Dr Apt 1204, Houston, TX 77025-2944 | 2016-04-28 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.