Pickett Family Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

31668 Issued in TX

Legal business name

PICKETT FAMILY DENTAL PLLC

Doing business as

Pickett Family Dental

Practice address

1135 Keller Pkwy
Keller, TX 76248-3614

Phone

(817) 431-5514

Fax

(817) 431-8048

NPI assigned

Aug 2, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tyson Pickett, DDSNPI 1730440934

Title

Owner

Phone

(817) 431-5514

Specialties & licenses 1

Addresses

Other names 1

• Pickett Family Dental Doing business as

Locations

Practitioners 2

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

• Tyson K Pickett, D.D.S

  • Dentist
  • Keller, TX
  • NPI 1730440934
  NPD (past) Authorized official
• Hugh Wilkinson Oser, DDS

  • General Practice Dentistry
  • Fort Worth, TX
  • NPI 1619043627
  NPD (past)

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533168000000",
    "number": "1205314150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-431-5514",
            "fax_number": "817-431-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483614",
            "telephone_number": "817-431-5514",
            "fax_number": "817-431-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKETT FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2018-08-02",
        "status": "A",
        "authorized_official_last_name": "PICKETT",
        "authorized_official_first_name": "TYSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-431-5514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pickett Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Mai Pham, R.PH
• Phoenix ABA Services
• Phu H. Le, D.D.S., P.a.
• Jimmy Thi Phu, RNFA
• Ava Leigh Pickard, LCSW
• Tyson K Pickett, D.D.S
• Jorge Piedra, PHARMD.
• Heather Pinkston, CSC, LPC-ASSOCIATE
• Pinnacle Health Facilities of Texas III LP
• Terri Anne Plaisance, LPC

• Dental Clinic/Center in Keller, TX
• Providers in Keller, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.