Organization Active NPI

Amarillo Pediatric Dentistry and Orthodontics at Town Square PLLC

  • Pediatric Dentistry
  • Amarillo, TX
National Provider Identifier
1134835424
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS AT TOWN SQUARE PLLC
Practice address
8900 E Village Square
Amarillo, TX 79119
Phone
(806) 350-5437
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Lynsey Harrison
Title
General Business Director
Phone
(806) 398-2539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

8900 E Village Square
Amarillo, TX 79119

Mailing address

2300 Wolflin Ave
Amarillo, TX 79109-1832
Phone (806) 398-2536

National Provider Directory

National Provider Directory

Locations

8900 E Village Sq
Amarillo, TX 79119
Phone (806) 350-5437

Practitioners & affiliated clinicians

Practitioners 3

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": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1134835424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 WOLFLIN AVE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091832",
            "telephone_number": "806-398-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 E VILLAGE SQUARE",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "79119",
            "telephone_number": "806-350-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMARILLO PEDIATRIC DENTISTRY AND ORTHODONTICS AT TOWN SQUARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "GENERAL BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "806-398-2539"
    },
    "taxonomies": [
        {
            "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.