NPIMap

Organization Active NPI

Abc Dental Group PLLC

  • Dentist
  • Denton, TX
National Provider Identifier
1033511928
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
26115 Issued in TX
Legal business name
ABC DENTAL GROUP PLLC
Practice address
2548 Lillian Miller Pkwy Ste 120
Denton, TX 76210-7212
Phone
(940) 300-6663
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2015

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

Authorized official

Name
Dr. Kendra Behram, DDS
Title
Owner
Phone
(940) 300-6663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 26115 TX Primary

Addresses

Primary practice location

2548 Lillian Miller Pkwy Ste 120
Denton, TX 76210-7212

Mailing address

2548 Lillian Miller Pkwy Ste 120
Denton, TX 76210-7212
Phone (940) 300-6663

National Provider Directory

National Provider Directory

Locations

2548 Lillian Miller Pkwy
Ste 120
Denton, TX 76210
Phone (940) 300-6663

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1033511928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2548 LILLIAN MILLER PKWY STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107212",
            "telephone_number": "940-300-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 LILLIAN MILLER PKWY STE 120",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107212",
            "telephone_number": "940-300-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BEHRAM",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-300-6663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.