KN Dental Clinic Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32598 Issued in TX

Legal business name

KN DENTAL CLINIC INC

Doing business as

Haley Dental

Practice address

2591 NW Loop
Stephenville, TX 76401-1601

Phone

(254) 968-7505

Fax

(254) 968-5469

NPI assigned

Apr 25, 2017

Last updated

Apr 25, 2017By 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

Dustin J Navarro, DMDNPI 1215258025

Title

Dentist/Owner

Phone

(254) 968-7505

Specialties & licenses 1

Addresses

Other names 1

• Haley Dental Doing business as

Locations

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.

• Dustin Navarro, D.M.D

  • Dentist
  • Stephenville, TX
  • NPI 1215258025
  NPD (past) Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1104351311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 NW LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011601",
            "telephone_number": "254-968-7505",
            "fax_number": "254-968-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 NW LOOP",
            "city": "STEPHENVILLE",
            "state": "TX",
            "postal_code": "764011601",
            "telephone_number": "254-968-7505",
            "fax_number": "254-968-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KN DENTAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "254-968-7505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alan Kerstiens, LAT, ATC
• Troy Kimbrough, PTA
• Kailey King, OTR
• Ted Kirby III
• Kevin Paul Kirkpatrick, OTR
• Knichols & Bnichols Healthcare Inc. (Stephenville Nursing Home)
• Richard Kochoa, PT, DPT, MD, TPS
• Jordan Kondikoff
• Rami Koro
• Brittany Krueger, D.C.

• General Practice Dentistry in Stephenville, TX
• Providers in Stephenville, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; 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.