KIDSTOWN DENTAL (NPI# 1558622332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558622332 |
| Entity Type | Organization |
| Organization Name | KIDSTOWN DENTAL |
| Practice Address |
27110 Cinco Ranch Suite 900 Katy TX 77494 |
| Practice Telephone | 2814331244 |
| Mailing Telephone | 2814331244 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | DR. AMY LYNN LUEDEMANN (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 2814331244 |
| Authorized Official Credential | DDS, MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
24032 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 220749001 | 05 |
| Street Address |
27110 CINCO RANCH SUITE 900 |
| 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 | 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 |
|---|---|---|---|---|
| 1356881718 | Texas Kids Dentist, Pllc | Dentist | 2780 Fm 1463, Suite 203, Katy, TX 77494-3827 | 2017-03-06 |
| 1780121509 | Greater Houston Pediatric Dentistry Katy Pllc | Dentist | 2722 W. Grand Parkway North, #160, Katy, TX 77493 | 2017-01-31 |
| 1245697663 | Ttok, Pllc | Dentist | 4603 Fm 1463 Rd, Suite 100, Katy, TX 77494-6545 | 2016-01-16 |
| 1639505571 | Amita Damani Dds, Pa | Dentist | 2840 Commercial Center Blvd Ste 101, Katy, TX 77494-6412 | 2013-09-24 |
| 1912295940 | Adeel Ahmad Khan | Dentist | 23302 W Fernhurst Drive, Suite 200, Katy, TX 77494 | 2011-07-12 |
| 1376849042 | Katherine Pazmino | Dentist | 20660 Westheimer Pkwy Ste A, Katy, TX 77450-6300 | 2011-01-28 |
| 1295909943 | Maria Calcina | Dentist | 19214 Clay Rd Ste D, Katy, TX 77449-4082 | 2008-04-14 |
| 1457529331 | Jaibum Kim | Dentist | 2717 Commercial Center Blvd, Suite J220, Katy, TX 77494-6410 | 2008-02-13 |
| 1780893552 | Jennifer Ricafrente Mata | Dentist | 21830 Kingsland Blvd Ste 104, Katy, TX 77450-2500 | 2007-05-21 |
| 1992806574 | Glen Robert Ginter | Dentist | 21830 Kingsland Blvd, Ste 104, Katy, TX 77450 | 2006-09-26 |
| 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.