NPIMap

Organization Active NPI

Texas Dental Sleep Services PLLC

  • Dentist
  • Montgomery, TX
National Provider Identifier
1083458764
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TEXAS DENTAL SLEEP SERVICES PLLC
Practice address
750 Fish Creek Thoroughfare Ste 260
Montgomery, TX 77316-6966
Phone
(936) 289-9353
NPI assigned
Jun 19, 2024
Organization subpart
Yes
Parent organization
TEXAS DENTAL SLEEP SERVICES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Eric Northey
Title
Ceo
Phone
(817) 291-2148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

750 Fish Creek Thoroughfare Ste 260
Montgomery, TX 77316-6966

Mailing address

12505 Hymeadow Dr Ste 2E
Austin, TX 78750-1866
Phone (512) 338-8120

Other identifiers 1

IdentifierTypeStateIssuer
18705OtherTXDENTAL LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Texas Dental Sleep Services PLLC12 organizations share this tax ID, including this one
Part of
Texas Dental Sleep Services PLLC

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1718755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1083458764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 HYMEADOW DR STE 2E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501866",
            "telephone_number": "512-338-8120",
            "fax_number": "512-338-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 FISH CREEK THOROUGHFARE STE 260",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773166966",
            "telephone_number": "936-289-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL SLEEP SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS DENTAL SLEEP SERVICES PLLC",
        "enumeration_date": "2024-06-19",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "NORTHEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-291-2148"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "18705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.