Organization Active NPI

Mission Bend Family Dentistry

  • Dental Clinic/Center
  • Richmond, TX
National Provider Identifier
1194374462
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MISSION BEND FAMILY DENTISTRY
Practice address
7039 FM 1464 Rd Ste 130
Richmond, TX 77407-2001
Phone
(832) 500-4940
Fax
(832) 532-7392
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Jennifer Miller
Title
Office Manager
Phone
(832) 500-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

7039 FM 1464 Rd Ste 130
Richmond, TX 77407-2001

Mailing address

7039 FM 1464 Rd Ste 130
Richmond, TX 77407-2001
Phone (832) 500-4940

National Provider Directory

National Provider Directory

Locations

7039 FM 1464 Rd
Ste 130
Richmond, TX 77407
Phone (832) 500-4940

NPI Registry JSON

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

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1194374462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7039 FM 1464 RD STE 130",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072001",
            "telephone_number": "832-500-4940",
            "fax_number": "832-532-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7039 FM 1464 RD STE 130",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072001",
            "telephone_number": "832-500-4940",
            "fax_number": "832-532-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION BEND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "832-500-4940"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.