Organization Active NPI

Wee Care Dental PA

Doing business as Wee Care Dental

  • General Practice Dentistry
  • Crane, TX
National Provider Identifier
1124503354
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WEE CARE DENTAL PA
Doing business as
Wee Care Dental
Practice address
1103 W 6TH Street
Crane, TX 79731
Phone
(432) 558-3591
NPI assigned
Oct 3, 2018
Last updated
Jun 19, 2024By the provider in NPPES
Organization subpart
No

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
Dr. Yasoda Vardhani BoyapatiNPI 1164778080
Title
Owner / Provider
Phone
(432) 558-3591

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1103 W 6TH Street
Crane, TX 79731

Mailing address

3113 Fairfield LN
Midland, TX 79705-1826
Phone (432) 558-3591

Other identifiers 1

IdentifierTypeStateIssuer
28310OtherTXDENTAL LICENSE

Other names 1

  • WEE CARE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1103 SW 6th St
Crane, TX 79731
Phone (432) 558-3591

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1124503354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3113 FAIRFIELD LN",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797051826",
            "telephone_number": "432-558-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W 6TH STREET",
            "city": "CRANE",
            "state": "TX",
            "postal_code": "79731",
            "telephone_number": "432-558-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEE CARE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "BOYAPATI",
        "authorized_official_first_name": "YASODA VARDHANI",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "432-558-3591",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "28310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEE CARE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WEE CARE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crane, 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.