NPIMap

Organization Active NPI

North Texas Children'S Dentistry, PLLC

  • Pediatric Dentistry
  • Gainesville, TX
National Provider Identifier
1043470180
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
20910 Issued in TX
Legal business name
NORTH TEXAS CHILDREN'S DENTISTRY, PLLC
Practice address
321 North Grand Avenue
Gainesville, TX 76240
Phone
(940) 665-0700
Fax
(940) 612-0727
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Dr. Jessica Ruth Bell, D.D.S.
Title
Dentist
Phone
(940) 665-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 20910 TX Primary

Addresses

Primary practice location

321 North Grand Avenue
Gainesville, TX 76240

Mailing address

321 North Grand Avenue
Gainesville, TX 76240
Phone (940) 665-0700

Other identifiers 1

IdentifierTypeStateIssuer
197851201MedicaidTX

Other names 1

  • NORTH TEXAS CHILDREN'S DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

321 N Grand Ave
Gainesville, TX 76240
Phone (940) 665-0700

Practitioners & affiliated clinicians

Practitioners 3

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": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1043470180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORTH GRAND AVENUE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-665-0700",
            "fax_number": "940-612-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTH GRAND AVENUE",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "76240",
            "telephone_number": "940-665-0700",
            "fax_number": "940-612-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS CHILDREN'S DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "940-665-0700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197851201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH TEXAS CHILDREN'S DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH TEXAS CHILDREN'S DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.