NPIMap

Organization Active NPI

My Dentist

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1245588938
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16495 Issued in TX
Legal business name
MY DENTIST
Practice address
930 W Main St
Lewisville, TX 75067-3516
Phone
(469) 464-3850
Fax
(469) 464-3859
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Dr. Robert Esparza, D.D.S.
Title
PC
Phone
(469) 464-3850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 16495 TX Primary

Addresses

Primary practice location

930 W Main St
Lewisville, TX 75067-3516

Mailing address

9405 N Pennsylvania Ave
Oklahoma City, OK 73120-3914
Phone (405) 751-7131

National Provider Directory

National Provider Directory
Tax ID family
My Dentist12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1245588938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203914",
            "telephone_number": "405-751-7131",
            "fax_number": "405-286-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673516",
            "telephone_number": "469-464-3850",
            "fax_number": "469-464-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PC",
        "authorized_official_telephone_number": "469-464-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.