DR. FREDDY R CESSAC (NPI# 1285710459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285710459 |
| Entity Type | Individual |
| Full Name | DR. FREDDY R CESSAC |
| Credential | DDS MS |
| Practice Address |
2015 Broadway St Ste B Pearland TX 77581-5501 |
| Mailing Address |
3302 Nottingham Pearland TX 77581 |
| Practice Telephone | 2814857015 |
| Practice Fax Number | 2814853376 |
| Mailing Telephone | 2814123308 |
| Mailing Fax Number | 2814853376 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2013-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
7214 | TX | Dental Providers |
| Street Address |
2015 BROADWAY ST STE B |
| City | PEARLAND |
| State | TX |
| Zip Code | 77581-5501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720526593 | Ellis Moon Orthodontics, Pllc | Dentist | 2015 Broadway St, Suite A, Pearland, TX 77581-5698 | 2017-02-01 |
| 1134384217 | Lisa Richardson Dds PC | Dentist | 2015 Broadway St, Suite B, Pearland, TX 77581-5698 | 2008-07-28 |
| 1992969570 | Lisa G. Richardson | Dentist | 2015 Broadway St, Suite B, Pearland, TX 77581-5698 | 2008-07-14 |
| 1487823191 | Randy Kyle Ellis | Dentist | 2015 Broadway St, Pearland, TX 77581-5698 | 2008-02-27 |
| 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 | 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 |
|---|---|---|---|---|
| 1174866578 | Ellen Huang | Dentist | 2325 Echo Harbor Dr, Pearland, TX 77584-1570 | 2013-04-03 |
| 1699914705 | Abc123 Pediatric Dentistry, Pa | Dentist | 1901 Kirby St Ste 103, Pearland, TX 77584-5705 | 2009-02-12 |
| 1750591988 | Rhea Elyce Radford | Dentist | 10223 Broadway St Ste D1, Pearland, TX 77584-7881 | 2007-05-23 |
| 1699730895 | Corbet Kevin Ellison | Dentist | 11233 Shadow Creek Pkwy Ste 120, Pearland, TX 77584-7345 | 2006-04-19 |
| 1659374221 | Pamela Clark | Dentist | 2360 County Road 94, Ste 102, Pearland, TX 77584-4884 | 2005-05-27 |
| 1114226271 | Radford Pediatric and Family Dentistry | Dentist | 10223 Broadway St, D-1, Pearland, TX 77584-7880 | 2011-03-15 |
| 1902037609 | Cecilia Elizabeth Carpio | Dentist | 11041 Shadow Creek Pkwy, Suite # 125, Pearland, TX 77584-7402 | 2009-07-30 |
| 1134384217 | Lisa Richardson Dds PC | Dentist | 2015 Broadway St, Suite B, Pearland, TX 77581-5698 | 2008-07-28 |
| 1992969570 | Lisa G. Richardson | Dentist | 2015 Broadway St, Suite B, Pearland, TX 77581-5698 | 2008-07-14 |
| 1871643312 | Ivette Diaz | Dentist | 1901 Kirby St, Suite 103, Pearland, TX 77584-5704 | 2007-01-10 |
| Find all providers in PEARLAND | ||||
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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.