West Brazos Dental Center Brazoria

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WEST BRAZOS DENTAL CENTER BRAZORIA

Doing business as

West Brazos Dental Center Brazoria

Practice address

324 N Brooks St
Brazoria, TX 77422-8718

Phone

(979) 248-4248

Fax

(979) 798-9109

NPI assigned

Feb 16, 2022

Last updated

Mar 14, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim R Yearout

Title

Office Manager

Phone

(979) 345-1023

Specialties & licenses 2

Addresses

Other names 1

• WEST BRAZOS DENTAL CENTER BRAZORIA Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Elizabeth Baker, DDS

  • Dentist
  • Angleton, TX
  • NPI 1902243660
  NPD

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

{
    "created_epoch": "1644969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1053066167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5005",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774225005",
            "telephone_number": "979-798-9103",
            "fax_number": "979-798-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N BROOKS ST",
            "city": "BRAZORIA",
            "state": "TX",
            "postal_code": "774228718",
            "telephone_number": "979-248-4248",
            "fax_number": "979-798-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BRAZOS DENTAL CENTER BRAZORIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-16",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "YEAROUT",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "979-345-1023"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST BRAZOS DENTAL CENTER BRAZORIA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEST BRAZOS DENTAL CENTER BRAZORIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Janet Pearson, PT
• Gabriela Polanco
• Liam Thomas Smith
• Matthew Allen Stephenson, DDS
• Vireon Equipment LLC
• Samantha Hubbs York, DDS

• Clinic/Center in Brazoria, TX
• Providers in Brazoria, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.