Organization Active NPI

Main Street Dental Center

  • Dental Clinic/Center
  • Marble Falls, TX
National Provider Identifier
1245818129
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MAIN STREET DENTAL CENTER
Practice address
308A Main St
Marble Falls, TX 78654-5715
Phone
(830) 798-0844
Fax
(830) 798-0744
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Seth A Harris, DDSNPI 1245645712
Title
Owner
Phone
(830) 798-0844

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 Primary

Addresses

Primary practice location

308A Main St
Marble Falls, TX 78654-5715

Mailing address

308A Main St
Marble Falls, TX 78654-5715
Phone (830) 798-0844

Other names 1

  • Main Street Dental Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@mainstreetdentaltx.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

308A Main St
Marble Falls, TX 78654
Phone (830) 798-0844

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1245818129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308A MAIN ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545715",
            "telephone_number": "830-798-0844",
            "fax_number": "830-798-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308A MAIN ST",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786545715",
            "telephone_number": "830-798-0844",
            "fax_number": "830-798-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-798-0844",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@mainstreetdentaltx.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emails",
            "address_1": "308A Main St",
            "city": "Marble Falls",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786545715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Main Street Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marble Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.