Organization Active NPI

Henry Wachtendorf DDS PA

  • Dentist
  • Royse City, TX
National Provider Identifier
1154574382
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HENRY WACHTENDORF DDS PA
Practice address
2763 FM 35
Royse City, TX 75189-2803
Phone
(972) 635-9919
Fax
(972) 635-9918
NPI assigned
Oct 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Dr. Henry Jakob Wachtendorf, D.D.S.
Title
President
Phone
(972) 635-9919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2763 FM 35
Royse City, TX 75189-2803

Mailing address

2763 FM 35
Royse City, TX 75189-2803
Phone (972) 635-9919

Other names 1

  • comfort care dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Comfort Care Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1154574382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2763 FM 35",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751892803",
            "telephone_number": "972-635-9919",
            "fax_number": "972-635-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2763 FM 35",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751892803",
            "telephone_number": "972-635-9919",
            "fax_number": "972-635-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY WACHTENDORF DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "WACHTENDORF",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "JAKOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-635-9919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "comfort care dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royse City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.