Pearsall Dental PLLC-PA

Primary specialty

DentistTaxonomy code 122300000X

License

26095 Issued in TX

Legal business name

PEARSALL DENTAL PLLC-PA

Doing business as

DDS Dental

Practice address

1809 Louise Lane
Suite 200
Pearsall, TX 78061-3215

Phone

(210) 846-5571

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By 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

Dr. Bassam Abdulnaim Abazid, D.D.S.

Title

Owner

Phone

(210) 846-5571

Specialties & licenses 1

Addresses

Other names 1

• DDS Dental Doing business as

Locations

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1194134577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 LOUISE LANE",
            "address_2": "SUITE 200",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613207",
            "telephone_number": "210-846-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 LOUISE LANE",
            "address_2": "SUITE 200",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613215",
            "telephone_number": "210-846-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSALL DENTAL PLLC-PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "ABAZID",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "ABDULNAIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-846-5571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DDS Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nix Community General Hospital, LLC (Nix Rural Health Clinic - Pearsall)
• Gustavo Adolfo Ortegon, DDS
• Oscar Garza M.D.
• Oscar Garza M.D. P.a. (Family Medicine Clinic)
• Oscar Garza, M.D.,PA (Family Medicine Clinic)
• Pearsall Isd
• Pedro Z. Taussig, M.D., PA
• Rachel Pendergast, FNP-C
• Elizabeth Perez
• Renee Suzann Perkins

• Dentist in Pearsall, TX
• Providers in Pearsall, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.