Organization Active NPI

Kids First Pediatric Dentistry

  • Pediatric Dentistry
  • Round Rock, TX
National Provider Identifier
1043549173
Registry record updated Dec 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
22437 Issued in TX
Legal business name
KIDS FIRST PEDIATRIC DENTISTRY
Practice address
4010 Sandy Brook Dr
Suite 106
Round Rock, TX 78665-1516
Phone
(512) 219-9827
NPI assigned
Dec 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2009

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

Authorized official

Name
Dr. Maria Isabel Mendoza, DDSNPI 1801802830
Title
Pediatric Dentist
Phone
(512) 219-9827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 22437 TX Primary

Addresses

Primary practice location

4010 Sandy Brook Dr
Suite 106
Round Rock, TX 78665-1516

Mailing address

1847 Nelson Ranch Loop
Cedar Park, TX 78613-4034
Phone (512) 573-4901

National Provider Directory

National Provider Directory

Locations

4010 Sandy Brook Dr
Ste 106
Round Rock, TX 78665
Phone (512) 219-9827

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": "1261267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261267200000",
    "number": "1043549173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1847 NELSON RANCH LOOP",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134034",
            "telephone_number": "512-573-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 SANDY BROOK DR",
            "address_2": "SUITE 106",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651516",
            "telephone_number": "512-219-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS FIRST PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-20",
        "last_updated": "2009-12-20",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ISABEL",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "512-219-9827",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "22437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2009; 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.