NPIMap

Organization Active NPI

Pediatric Dental Care

  • Pediatric Dentistry
  • Galveston, TX
National Provider Identifier
1104198076
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
14433 Issued in TX
Legal business name
PEDIATRIC DENTAL CARE
Practice address
2501 65TH St
Suite a
Galveston, TX 77551-2218
Phone
(409) 744-4551
Fax
(409) 744-5702
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Authorized official

Name
Dr. William Ross Posnick, DDS
Title
Pediatric Dentist/Owner
Phone
(409) 744-4551

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 15123 TX
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 14433 TX Primary

Addresses

Primary practice location

2501 65TH St
Suite a
Galveston, TX 77551-2218

Mailing address

2501 65TH St
Suite a
Galveston, TX 77551-2218
Phone (409) 744-4551

Other identifiers 2

IdentifierTypeStateIssuer
041777601MedicaidTX
DENT 24368MedicaidTX

National Provider Directory

National Provider Directory

Locations

2501 65th St
Ste A
Galveston, TX 77551
Phone (409) 744-4551

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": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328572800000",
    "number": "1104198076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 65TH ST",
            "address_2": "SUITE A",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512218",
            "telephone_number": "409-744-4551",
            "fax_number": "409-744-5702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 65TH ST",
            "address_2": "SUITE A",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775512218",
            "telephone_number": "409-744-4551",
            "fax_number": "409-744-5702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2012-02-07",
        "status": "A",
        "authorized_official_last_name": "POSNICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST/OWNER",
        "authorized_official_telephone_number": "409-744-4551",
        "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": "15123",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "14433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041777601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DENT 24368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2012; 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.