NPIMap

Organization Active NPI

Family Total Dental PA

  • Dentist
  • Georgetown, TX
National Provider Identifier
1013337500
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14486 Issued in TX
Legal business name
FAMILY TOTAL DENTAL PA
Practice address
508 Goodnight Dr
Georgetown, TX 78628-6956
Phone
(512) 244-3333
NPI assigned
Apr 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Paul T Dabney, DDS
Title
Dentist
Phone
(512) 244-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 14486 TX Primary

Addresses

Primary practice location

508 Goodnight Dr
Georgetown, TX 78628-6956

Mailing address

508 Goodnight Dr
Georgetown, TX 78628-6956
Phone (512) 244-3333

Other names 1

  • Texas Total Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Total Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1013337500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 GOODNIGHT DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286956",
            "telephone_number": "512-244-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 GOODNIGHT DR",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286956",
            "telephone_number": "512-244-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TOTAL DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-23",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-244-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "14486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Total Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.