Active NPI
Childrens Dentistry of Amarillo
- Pediatric Dentistry
- Amarillo, TX
National Provider Identifier
1134723703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- Legal business name
- CHILDRENS DENTISTRY OF AMARILLO
- Practice address
- 4501 Vanwinkle
Amarillo, TX 79119 - Phone
- (806) 351-0008
- Fax
- (806) 351-0053
- NPI assigned
- Nov 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Billy J Metcalf, DDS
- Title
- Owner
- Phone
- (806) 351-0008
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | |||
| Pediatric Dentistry | 1223P0221X | Primary |
Addresses
Primary practice location
4501 Vanwinkle
Amarillo, TX 79119
Mailing address
4501 Vanwinkle
Amarillo, TX 79119
Phone (806) 351-0008
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606176000000",
"number": "1134723703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 VANWINKLE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-351-0008",
"fax_number": "806-351-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 VANWINKLE",
"city": "AMARILLO",
"state": "TX",
"postal_code": "79119",
"telephone_number": "806-351-0008",
"fax_number": "806-351-0053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDRENS DENTISTRY OF AMARILLO",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-24",
"last_updated": "2020-11-24",
"certification_date": "2020-11-24",
"status": "A",
"authorized_official_last_name": "METCALF",
"authorized_official_first_name": "BILLY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "806-351-0008",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
- Kirstie Raylene Chick, M.S., CCC-SLP
- Harvey Enrique Chico, LMT
- Perle Chico
- Alana J Chilcote, R.N.
- Children's Healthcare Associates, LLP
- Childress County Hospital District (Landmark of Amarillo Rehabilitation and Nursing Center)
- Ryan Chisum, FNP-C
- Chiyyarath V Sreenivasan M D
- Lindsey Choate
- Keith Chow, PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.