NPIMap

Organization Active NPI

Encore PCD Aubrey, PLLC

  • General Practice Dentistry
  • Aubrey, TX
National Provider Identifier
1184096687
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TX12072 Issued in TX
Legal business name
ENCORE PCD AUBREY, PLLC
Practice address
26735 US Highway 380 E Ste 105
Aubrey, TX 76227-2338
Phone
(972) 347-1090
NPI assigned
Oct 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Dr. Roy Smith III, DDS
Title
PC Shareholder
Phone
(972) 347-1090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TX12072 TX Primary

Addresses

Primary practice location

26735 US Highway 380 E Ste 105
Aubrey, TX 76227-2338

Mailing address

26735 US Highway 380 E Ste 105
Aubrey, TX 76227-2338
Phone (972) 347-1090

Other names 1

  • Paloma Creek Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1184096687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26735 US HIGHWAY 380 E STE 105",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762272338",
            "telephone_number": "972-347-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26735 US HIGHWAY 380 E STE 105",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762272338",
            "telephone_number": "972-347-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE PCD AUBREY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "PC SHAREHOLDER",
        "authorized_official_telephone_number": "972-347-1090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "TX12072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paloma Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.