Van Alstyne Family Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

38855 Issued in TX

Legal business name

VAN ALSTYNE FAMILY DENTISTRY PLLC

Practice address

217 E Jefferson St
Van Alstyne, TX 75495-3420

Phone

(903) 482-6339

Fax

(903) 385-7255

NPI assigned

Jun 16, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda BrockNPI 1285386631

Title

Operations Manager

Phone

(903) 268-6542

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harvest Dental Of Van Alstyne & Aaron S Horsley-Teny DDS Sole MBR Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brenda Denise Brock

  • Behavior Technician
  • Fullerton, CA
  • NPI 1285386631
  NPD Authorized official

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

{
    "created_epoch": "1497571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174053680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E JEFFERSON ST",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754953420",
            "telephone_number": "903-482-6339",
            "fax_number": "903-385-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E JEFFERSON ST",
            "city": "VAN ALSTYNE",
            "state": "TX",
            "postal_code": "754953420",
            "telephone_number": "903-482-6339",
            "fax_number": "903-385-7255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VAN ALSTYNE FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "903-268-6542",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "38855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363943701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvest Dental Of Van Alstyne & Aaron S Horsley-Teny DDS Sole MBR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Harvest Dental Of Van Alstyne & Aaron S Horsley-Teny DDS Sole MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Wayne Tobler, D.M.D
• Craig Turczynski
• Van Alstyne Dental PLLC
• Van Alstyne Emergency Center (iCare Emergency Room)
• Van Alstyne Eye Care PLLC (Van Alstyne Eye Care)
• Van Alstyne Physical Therapy
• Jerryd Wallace, LPC
• Paul A Westmoreland II, MD
• Wildflower Counseling TX, PLLC
• Lindsay Roberts Williams, PT

• Dental Clinic/Center in Van Alstyne, TX
• Providers in Van Alstyne, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.