NPIMap

Organization Active NPI

Dental Health Associates of TX, PC

Doing business as Oak River Dental Care

  • General Practice Dentistry
  • Kyle, TX
National Provider Identifier
1154004646
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF TX, PC
Doing business as
Oak River Dental Care
Practice address
5180 S FM 1626 Ste 100
Kyle, TX 78640-3392
Phone
(737) 276-0019
Fax
(737) 276-0020
NPI assigned
Aug 10, 2023
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TX, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

5180 S FM 1626 Ste 100
Kyle, TX 78640-3392

Mailing address

5180 S FM 1626 Ste 100
Kyle, TX 78640-3392
Phone (737) 276-0019

Other names 1

  • Oak River Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5180 S FM 1626
Ste 100
Kyle, TX 78640
Phone (737) 276-0019

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1154004646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5180 S FM 1626 STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786403392",
            "telephone_number": "737-276-0019",
            "fax_number": "737-276-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 S FM 1626 STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786403392",
            "telephone_number": "737-276-0019",
            "fax_number": "737-276-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TX, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TX, PC",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak River Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

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