Organization Active NPI

RJH Dental Group , PA

  • Dental Clinic/Center
  • Carrizo Springs, TX
National Provider Identifier
1245768654
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
16503 Issued in TX
Legal business name
RJH DENTAL GROUP , PA
Practice address
404 S 7TH St
Carrizo Springs, TX 78834-3112
Phone
(830) 255-1684
Fax
(830) 876-5591
NPI assigned
May 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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

Authorized official

Name
Dr. Richard J HaleyNPI 1235161647
Title
Dr./Owner
Phone
(830) 255-1684

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
Dental Clinic/Center 261QD0000X 16503 TX Primary

Addresses

Primary practice location

404 S 7TH St
Carrizo Springs, TX 78834-3112

Mailing address

PO Box 752
Carrizo Springs, TX 78834-6752
Phone (830) 255-1684

Other identifiers 1

IdentifierTypeStateIssuer
090558004MedicaidTX

National Provider Directory

National Provider Directory

Locations

404 S 7th St
Carrizo Springs, TX 78834
Phone (830) 255-1684

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": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1245768654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 752",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788346752",
            "telephone_number": "830-255-1684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 S 7TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343112",
            "telephone_number": "830-255-1684",
            "fax_number": "830-876-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJH DENTAL GROUP , PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "830-255-1684",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090558004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.