Organization Active NPI

Texas Braces

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kaufman, TX
National Provider Identifier
1174192900
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TEXAS BRACES
Practice address
100 Kings Fort Pkwy Ste 100
Kaufman, TX 75142-3544
Phone
(972) 932-3918
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Authorized official

Name
Briana Garcia
Title
Credentialing Specialist
Phone
(972) 932-3918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

100 Kings Fort Pkwy Ste 100
Kaufman, TX 75142-3544

Mailing address

101 S Coit Rd # 36-315
Richardson, TX 75080-5743

National Provider Directory

National Provider Directory

Locations

100 Kings Fort Pkwy
Ste 100
Kaufman, TX 75142
Phone (469) 414-0670

101 S Coit Rd
#36315
Richardson, TX 75080

Practitioners & affiliated clinicians

Practitioners 2

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625616000000",
    "number": "1174192900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COIT RD # 36-315",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGS FORT PKWY STE 100",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "751423544",
            "telephone_number": "972-932-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS BRACES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "BRIANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "972-932-3918"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.