Organization Active NPI

Killeen and Heights Dental Centers, PLLC

Doing business as Killeen Dental Health Center

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1033757885
Registry record updated Feb 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KILLEEN AND HEIGHTS DENTAL CENTERS, PLLC
Doing business as
Killeen Dental Health Center
Practice address
1405 E Elms Rd
Killeen, TX 76542-2810
Phone
(254) 519-4700
NPI assigned
Dec 11, 2019
Organization subpart
Yes
Parent organization
KILLEEN AND HEIGHTS DENTAL CENTERS, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 11, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1405 E Elms Rd
Killeen, TX 76542-2810

Mailing address

1405 E Elms Rd
Killeen, TX 76542-2810
Phone (254) 519-4700

Other names 1

  • Killeen Dental Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Killeen and Heights Dental Centers PLLC2 organizations share this tax ID, including this one
Part of
Killeen and Heights Dental Centers PLLC

Other organizations with this tax ID 1

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

Locations

1405 E Elms Rd
Killeen, TX 76542
Phone (254) 519-4700

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644537600000",
    "number": "1033757885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 E ELMS RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422810",
            "telephone_number": "254-519-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 E ELMS RD",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765422810",
            "telephone_number": "254-519-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN AND HEIGHTS DENTAL CENTERS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KILLEEN AND HEIGHTS DENTAL CENTERS, PLLC",
        "enumeration_date": "2019-12-11",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Killeen Dental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.