Organization Active NPI

Sharyland Family Dentistry, P.C.

  • Dentist
  • Mission, TX
National Provider Identifier
1245504331
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16852 Issued in TX
Legal business name
SHARYLAND FAMILY DENTISTRY, P.C.
Practice address
2132 E Griffin Pkwy
Mission, TX 78572-3225
Phone
(956) 580-1900
Fax
(956) 580-4991
NPI assigned
Mar 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Authorized official

Name
Mr. Richard M. M. LeeNPI 1740342088
Title
Dentist
Phone
(956) 580-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16852 TX Primary

Addresses

Primary practice location

2132 E Griffin Pkwy
Mission, TX 78572-3225

Mailing address

2132 E Griffin Pkwy
Mission, TX 78572-3225
Phone (956) 580-1900

National Provider Directory

National Provider Directory

Locations

2132 E Griffin Pkwy
Mission, TX 78572
Phone (956) 580-1900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1245504331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2132 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-580-1900",
            "fax_number": "956-580-4991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2132 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723225",
            "telephone_number": "956-580-1900",
            "fax_number": "956-580-4991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARYLAND FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-07",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M. M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-580-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; 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.