NPIMap

Organization Active NPI

Dental Professionals of Texas, P.a.

  • General Practice Dentistry
  • Temple, TX
National Provider Identifier
1124771142
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL PROFESSIONALS OF TEXAS, P.A.
Practice address
1615 Forest TRL
Temple, TX 76502-2715
Phone
(254) 778-6440
NPI assigned
Jan 31, 2022
Organization subpart
Yes
Parent organization
DENTAL PROFESSIONALS OF TEXAS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-8905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1615 Forest TRL
Temple, TX 76502-2715

Mailing address

1615 Forest TRL
Temple, TX 76502-2715
Phone (254) 778-6440

Other names 1

  • Heart Of Texas Periodontics & Implantology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Professionals of Texas PA13 organizations share this tax ID, including this one
Part of
Dental Professionals of Texas PA

Other organizations with this tax ID 12

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

Locations

1615 Forest Trl
Temple, TX 76502
Phone (254) 778-6440

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.

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": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1124771142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 FOREST TRL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022715",
            "telephone_number": "254-778-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 FOREST TRL",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022715",
            "telephone_number": "254-778-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PROFESSIONALS OF TEXAS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PROFESSIONALS OF TEXAS, P.A.",
        "enumeration_date": "2022-01-31",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8905"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Of Texas Periodontics & Implantology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heart Of Texas Periodontics & Implantology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.