ALD CYPRESS PLLC (NPI# 1073904413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073904413 |
| Entity Type | Organization |
| Organization Name | ALD CYPRESS PLLC |
| Other Organization Name | ACTIVE LIFE DENTISTRY |
| Practice Address |
13611 Skinner Rd Suite 100 Cypress TX 77429-2797 |
| Practice Telephone | 2819704000 |
| Practice Fax Number | 2812134105 |
| Mailing Telephone | 2819704000 |
| Mailing Fax Number | 2812134105 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2020-10-13 |
| Authorized Official Name | DR. CHRISTOPHER MICHAEL BLUME (DENTIST) |
| Authorized Official Telephone | 2819704000 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
19333 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Active Life Dentistry | Doing Business As Name - Organization |
| Street Address |
13611 SKINNER RD SUITE 100 |
| City | CYPRESS |
| State | TX |
| Zip Code | 77429-2797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194724450 | Jennifer Ann Swearengin | Speech-Language Pathologist | 13611 Skinner Rd, Suite 250, Cypress, TX 77429-1018 | 2005-07-19 |
| 1215479902 | Adriana Przybyszewski | Speech-Language Pathologist | 13611 Skinner Rd, Cypress, TX 77429-1018 | 2016-11-10 |
| 1215479993 | Caitlin Clemente | Speech-Language Pathologist | 13611 Skinner Rd, Suite 250, Cypress, TX 77429-1018 | 2016-11-10 |
| 1952843633 | Dana Wierzbicki | Speech-Language Pathologist | 13611 Skinner Rd, Suite 250, Cypress, TX 77429-1018 | 2016-11-10 |
| 1235485038 | Aubrey Kendall Moore | Dentist | 13611 Skinner Rd, Cypress, TX 77429-1018 | 2012-07-30 |
| 1619247665 | Carrie Foley | Speech-Language Pathologist | 13611 Skinner Rd, Suite 250, Cypress, TX 77429-1018 | 2012-01-09 |
| 1679883557 | Erika S Cornejo | Occupational Therapist | 13611 Skinner Rd, Suite 250, Cypress, TX 77429-1018 | 2010-10-13 |
| 1740597046 | Guljeet K. Sohal, M.d., P.a. | Family Medicine | 13611 Skinner Rd, Suite 270, Cypress, TX 77429-1018 | 2010-09-08 |
| 1356656870 | Balle Wellness Consortium, Inc. | Family Medicine | 13611 Skinner Rd, Suite 270, Cypress, TX 77429-1018 | 2010-08-09 |
| 1679893143 | Sartaj Singh Chatha | Family Medicine | 13611 Skinner Rd, #270, Cypress, TX 77429-1018 | 2010-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902424757 | Jesus Ramon Jasso Jr. | Counselor | 2126 Northwest Freeway/21216 U.S. 290 West, Suite 450, Cypress, TX 77429 | 2020-07-08 |
| 1659911196 | Ffarzamllc | Dentist | 12430 Grant Road, Suite C, Cypress, TX 77429 | 2020-01-13 |
| 1467094136 | Bud Norita | Technician | 11111 Saathoff Dr., Apt. #422, Cypress, TX 77429 | 2019-10-14 |
| 1710529938 | Cypress Pediatric Occupational Therapy | Occupational Therapist | 12916 Malcomson Rd, Cypress, TX 77429 | 2019-10-09 |
| 1902460058 | Alison M Lampton | Counselor | 17920 Huffmeister Rd Ste 250, Cypress, TX 77429 | 2019-04-24 |
| 1295295699 | Ana Paula Mendez | Nurse Practitioner | 4216 Northwest Fwy, Suite 560, Cypress, TX 77429 | 2019-03-21 |
| 1952860371 | Andre Austin | Behavior Technician | 12110 Huffmeister, Cypress, TX 77429 | 2019-03-15 |
| 1598224917 | Tania Nguyen | Behavior Technician | 12110 Huffmeister Rd, Cypress, TX 77429 | 2019-03-15 |
| 1265903330 | Cypress Rosehill Family Dentistry, Pllc | Dentist | 15626 Cypress Rosehill Rd, Suite 300, Cypress, TX 77429 | 2018-12-16 |
| 1124597661 | Gordon Agawereh | Nurse Practitioner | 25801 Us-290, Cypress, TX 77429 | 2018-11-14 |
| Find all providers in zip 77429 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010322 | Dentalim Pllc | Clinic/Center | 11734 Barker Cypress Rd Ste 113, Cypress, TX 77433-2770 | 2020-07-21 |
| 1144854803 | Cypress Dental,p.a | Clinic/Center | 17823 Longenbaugh Dr, Suite D, Cypress, TX 77433 | 2020-03-02 |
| 1730675976 | Morgan Dental Corporation | Clinic/Center | 11741 Valley View St Ste E, Cypress, CA 90630-5500 | 2018-07-10 |
| 1841796489 | Iodds, Inc. | Clinic/Center | 8190 Barker Cypress Rd Ste 200, Cypress, TX 77433-2279 | 2018-04-03 |
| 1740717883 | Fairfield Professional LLC | Clinic/Center | 28070 Highway 290 Ste 150, Cypress, TX 77433-6921 | 2017-05-19 |
| 1417402033 | Cypress Mint Dentistry Pllc | Clinic/Center | 22224 Northwest Fwy, Cypress, TX 77429-5768 | 2016-08-24 |
| 1225402670 | Ald Lakewood, Pllc | Clinic/Center | 12710 Grant Road, Cypress, TX 77429 | 2015-11-23 |
| 1992328108 | Omid Shayan Dds Inc | Clinic/Center | 9922 Walker St Ste C, Cypress, CA 90630-3097 | 2020-05-21 |
| 1649810045 | Trey Patterson Dds Pllc | Clinic/Center | 9740 Barker Cypress Rd, Cypress, TX 77433-1973 | 2020-01-14 |
| 1285278788 | Minh Luu Dmd PC | Clinic/Center | 20510 West Rd Ste 900, Cypress, TX 77433-7111 | 2019-10-29 |
| Find all providers in CYPRESS | ||||
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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.