NPIMap

Organization Active NPI

Pstik PLLC

Doing business as Mercedes Family Dentistry

  • General Practice Dentistry
  • Mercedes, TX
National Provider Identifier
1073183695
Registry record updated Jun 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PSTIK PLLC
Doing business as
Mercedes Family Dentistry
Practice address
300 N Ohio Ave
Mercedes, TX 78570-2728
Phone
(956) 565-2419
NPI assigned
Jun 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2021

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

Authorized official

Name
Dr. Tony Kim, DDSNPI 1952748022
Title
Dentist
Phone
(956) 565-2419

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Oral and Maxillofacial Pathology DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0106X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X

Addresses

Primary practice location

300 N Ohio Ave
Mercedes, TX 78570-2728

Mailing address

300 N Ohio Ave
Mercedes, TX 78570-2728
Phone (956) 565-2419

Other names 1

  • Mercedes Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

300 N Ohio Ave
Mercedes, TX 78570
Phone (956) 565-2419

Practitioners & affiliated clinicians

Practitioners 2

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": "1624752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1073183695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N OHIO AVE",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702728",
            "telephone_number": "956-565-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N OHIO AVE",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702728",
            "telephone_number": "956-565-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSTIK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-27",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-565-2419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercedes Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mercedes, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2021; 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.