Killeen Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

KILLEEN PEDIATRIC DENTISTRY PLLC

Practice address

120 W Central Texas Expy
Suite 200
Harker Heights, TX 76548-6600

Phone

(254) 699-4543

NPI assigned

Apr 17, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Carly Aly

Title

Regional Manager

Phone

(936) 419-3235

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Thomas Shoptaw, DDS

  • Pediatric Dentistry
  • Harker Heights, TX
  • NPI 1326145467
  NPD (past)
• Sara Van Arsdall, D.M.D.

  • Pediatric Dentistry
  • Harker Heights, TX
  • NPI 1902229552
  NPD (past)

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

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1174910087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486600",
            "telephone_number": "254-699-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W CENTRAL TEXAS EXPY",
            "address_2": "SUITE 200",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765486600",
            "telephone_number": "254-699-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLEEN PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "ALY",
        "authorized_official_first_name": "CARLY",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "936-419-3235",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle K Kerr Kastris, LICSW
• Shekeitha Monique Keys
• Brittany J Kidd
• Teresa Annette Kilbourn, NP
• Killeen and Heights Dental Centers, PLLC
• Elaine Dianne Kincaid
• Ginger Marie Kinsey, PH.D.
• Peter Kisner, RN
• Patricia Klepinger
• Lorrie Ann Kline

• Pediatric Dentistry in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.