Burleson Pediatric Dental Center LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

BURLESON PEDIATRIC DENTAL CENTER LLC

Practice address

101 NW Renfro St Ste 106
Burleson, TX 76028-4178

Phone

(817) 447-7474

NPI assigned

Jun 27, 2022

Organization subpart

No

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

Authorized official

Name

Mike Cole

Title

VP Insurance Plan Management

Phone

(727) 424-2990

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656288000000",
    "number": "1033841317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW RENFRO ST STE 106",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284178",
            "telephone_number": "817-447-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW RENFRO ST STE 106",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284178",
            "telephone_number": "817-447-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLESON PEDIATRIC DENTAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "VP INSURANCE PLAN MANAGEMENT",
        "authorized_official_telephone_number": "727-424-2990"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Burleson Eye Institue, PA
• Burleson Family Medical Center, P.a.
• Burleson Independent School District
• Burleson Moders Dentistry, PC
• Burleson Nursing & Rehab Center, Inc
• Burleson Pediatric Dentistry
• Burleson Pharmacy LLC
• Burleson Pharmacy LLC
• Austin R Burnett, FNP-C
• Bryan Lynn Butler, LPC, LCDC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.