KATY OLIVE DENTAL PLLC (NPI# 1437614179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437614179 |
| Entity Type | Organization |
| Organization Name | KATY OLIVE DENTAL PLLC |
| Practice Address |
23213 Red River Dr Katy TX 77494 |
| Practice Telephone | 7132525148 |
| Mailing Telephone | 7132525148 |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | DR. KEVIN K YEUM (PRESIDENT) |
| Authorized Official Telephone | 7132525148 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
23213 RED RIVER DR |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467053587 | David Cheng, Pllc | Clinic/Center | 1708 Spring Green Blvd Ste 195, Katy, TX 77494-7462 | 2020-11-04 |
| 1154920023 | Deja Opusunju Dmd Pllc | Clinic/Center | 25031 Westheimer Pkwy Ste 200, Katy, TX 77494-7317 | 2020-10-22 |
| 1003475898 | Irolo Dental Services | Clinic/Center | 23021 Morton Ranch Rd, C, Katy, TX 77449 | 2019-06-06 |
| 1528626462 | Nottingham Dental Pllc | Clinic/Center | 20501 Katy Fwy, Ste 104, Katy, TX 77450-1939 | 2019-06-05 |
| 1184185985 | Katy Family Dentistry | Clinic/Center | 5160 Franz Rd Unit 1b, Katy, TX 77493-1763 | 2019-03-26 |
| 1376039305 | Next Level Smiles Pllc | Clinic/Center | 6727 Fm 1463, Suite 200, Katy, TX 77494 | 2018-07-02 |
| 1578092748 | Fabf Management, LLC | Clinic/Center | 1708 Spring Green Blvd #200, Katy, TX 77494 | 2017-06-09 |
| 1760854673 | Mason Creek Dental PC | Clinic/Center | 1230 N Mason Road, Suite 1000, Katy, TX 77449 | 2015-10-30 |
| 1821611088 | Ghid Dental Pllc | Clinic/Center | 21040 Highland Knolls Dr, Katy, TX 77450-1570 | 2020-05-22 |
| 1588222103 | Katy Mills Dental, Pllc | Clinic/Center | 2001 Katy Mills Blvd Ste E, Katy, TX 77494-4880 | 2019-05-29 |
| Find all providers in KATY | ||||
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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.