Broadway Family Dentistry PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

24059 Issued in TX

Legal business name

BROADWAY FAMILY DENTISTRY PLLC

Doing business as

Broadway Family Dentistry

Practice address

3200 Broadway Blvd
#340
Garland, TX 75043-1573

Phone

(972) 864-8119

Fax

(972) 926-0630

NPI assigned

Jun 3, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kavitha Pai, D.D.S.NPI 1346488814

Title

Managing Member

Phone

(201) 993-9961

Specialties & licenses 1

Addresses

Other names 1

• Broadway Family Dentistry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kavitha Pai, D.D.S.

  • General Practice Dentistry
  • Garland, TX
  • NPI 1346488814
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1003253816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD",
            "address_2": "#340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431573",
            "telephone_number": "972-864-8119",
            "fax_number": "972-926-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BROADWAY BLVD",
            "address_2": "#340",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750431573",
            "telephone_number": "972-864-8119",
            "fax_number": "972-926-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADWAY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "PAI",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "201-993-9961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broadway Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jia Bridges, OTR/L
• Joshua Darnell Bridges, MD
• Bright Smiles of Garland PLLC
• Bright White Dental
• Christina Brink
• Broadway I-30 Medical Clinic, PLLC
• Broadway Pharmacy LLC
• Broadway Psychiatry LLC
• Richard John Brock, CRNA
• Bronse International

• Dentist in Garland, TX
• Providers in Garland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.