Amarillo Pediatric Dentistry and Orthodontics, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC

Doing business as

Amarillo Pediatric Dentistry

Practice address

2300 Wolflin Ave
Amarillo, TX 79109

Phone

(806) 398-2536

Fax

(806) 350-5438

NPI assigned

Sep 26, 2006

Last updated

Feb 20, 2025By 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

Lynsey Harrison

Title

Coo

Phone

(806) 350-5437

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Amarillo Pediatric Dentistry Doing business as

Tax ID family

Amarillo Pediatric Dentistry and Orthodontics PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Amarillo Pediatric Dentistry and Orthodontics, PA

  • Pediatric Dentistry
  • Boys Ranch, TX
  • NPI 1063993020
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Amarillo Pediatric Dentistry and Orthodontics, PA

  • Pediatric Dentistry
  • Boys Ranch, TX
  • NPI 1063993020
  NPPES parent name

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1073614772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-350-5437",
            "fax_number": "806-350-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79109",
            "telephone_number": "806-398-2536",
            "fax_number": "806-350-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "806-350-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177133901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200248890A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "29824753",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amarillo Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Dentistry in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.