TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY (NPI# 1730550161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730550161 |
| Entity Type | Organization |
| Organization Name | TLN FAMILY & COSMETIC DENTAL @ PEARLAND PARKWAY |
| Practice Address |
2701 Pearland Parkway Suite 201 Pearland TX 77581 |
| Mailing Address |
63 Genova Way Lane Missouri City TX 77459 |
| Practice Telephone | 7137232600 |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-10-12 |
| Authorized Official Name | DR. TAMMEKA NICKLEBERRY (CEO) |
| Authorized Official Telephone | 7137232600 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 22283 | TX | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 176205602 | 05 |
| Street Address |
2701 PEARLAND PARKWAY SUITE 201 |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171973 | Teledentist365 Foundation | Public Health or Welfare | 2111 Limrick Drive, Pearland, TX 77581 | 2020-07-10 |
| 1558984757 | Oculus Interest Vii, LLC | Optometrist | 2470 Pearland Pkwy, Pearland, TX 77581 | 2020-05-21 |
| 1285267591 | Rachel Daniels | Speech-Language Pathologist | 2011 E. Broadway, Ste. 130, Pearland, TX 77581 | 2020-02-14 |
| 1164054615 | Chau Minh Pho | Pharmacist | 3245 Fm518, Pearland, TX 77581 | 2020-02-12 |
| 1902460611 | Areli Dominguez | Behavior Technician | 6516 Broadway Street, Suite 112, Perland, TX 77581 | 2019-04-29 |
| 1700356359 | Rebekah Buck | Physical Therapist | 2011 E. Broadway Ste 130, Pearland, TX 77581 | 2018-11-27 |
| 1639676737 | Kjj Vision Pllc | Optometrist | 1816 Broadway St Ste 106, Pearland, TX 77581 | 2018-04-06 |
| 1386155398 | Tekisha Murphy | Nurse Practitioner | 2812 Afton Drive, Pearland, TX 77581 | 2017-10-17 |
| 1588181457 | Emily Hamm | Occupational Therapist | 211 E. Broadway, Ste. 130, Pearland, TX 77581 | 2017-08-23 |
| 1013437938 | Kristin Aulds | Dentist | 2708 Pearland Parkway, Ste 220, Pearland, TX 77581 | 2017-06-21 |
| Find all providers in zip 77581 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669832366 | Catalyst Chiropractic | Preferred Provider Organization | 1123 Newhaven Trl, Pearland, TX 77584-7747 | 2016-02-24 |
| 1134594252 | Cassandra's Personal Care Home | Preferred Provider Organization | 2718 Park Falls Dr, Pearland, TX 77584-7221 | 2015-12-01 |
| 1114902608 | Gibson Pharmacy | Preferred Provider Organization | 3538 Broadway St, Pearland, TX 77581-4307 | 2005-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849494 | Face To Face Healthcare Services LLC | Preferred Provider Organization | 2616 S Loop W Ste 300, Houston, TX 77054-2672 | 2019-09-06 |
| 1700438827 | Cleveland Phillips Jr. | Preferred Provider Organization | 11146 Vance Jackson Rd Apt 3801, San Antonio, TX 78230-2563 | 2019-07-09 |
| 1154983492 | Cassandra Denese Mitchell | Preferred Provider Organization | 8319 Heights Vly, Converse, TX 78109-3503 | 2019-07-08 |
| 1083187223 | Chinese Community Center, Inc. | Preferred Provider Organization | 9800 Town Park Dr, Houston, TX 77036-2316 | 2019-01-10 |
| 1013422492 | Cicero L Sadler | Preferred Provider Organization | 4001 San Jacinto St, Houston, TX 77004-4021 | 2017-12-07 |
| 1528577483 | Mary Brown-jacobs | Preferred Provider Organization | 501 Canvas Ct, Crowley, TX 76036-4338 | 2017-09-22 |
| 1962931220 | Ai Community Services LLC | Preferred Provider Organization | 6928 Shoreway Dr, Grand Prairie, TX 75054 | 2017-06-08 |
| 1649706227 | Divine Integrity Allied Healthcare Services | Preferred Provider Organization | 4738 Bedford Ave, Midland, TX 79703-4535 | 2017-05-03 |
| 1255866950 | Guardian of Angels Community Living | Preferred Provider Organization | 12703 Jones Rd, 1115, Houston, TX 77070-4676 | 2017-05-01 |
| 1356874622 | Urban Line LLC | Preferred Provider Organization | 2500 Woodland Park Dr Apt C304, Houston, TX 77077-2278 | 2017-04-04 |
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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.