Tippit Dental Group Elgin

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TIPPIT DENTAL GROUP ELGIN

Doing business as

Elgin Smiles Dental

Practice address

1309 N Avenue C
Elgin, TX 78621-1528

Phone

(512) 281-4260

NPI assigned

Aug 10, 2021

Last updated

Aug 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Theresa Navarro

Title

Cfo

Phone

(713) 677-9983

Specialties & licenses 1

Addresses

Other names 1

• Elgin Smiles Dental Doing business as

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Parker Fahmy, DDS

  • Dentist
  • Elgin, TX
  • NPI 1912638123
  NPD
• Randy M Robertson, DDS

  • Dentist
  • Elgin, TX
  • NPI 1467555086
  NPD (past)
• Leigh Veilleux, DDS

  • General Practice Dentistry
  • Brenham, TX
  • NPI 1285019026
  NPD (past)

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

{
    "created_epoch": "1628553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628553600000",
    "number": "1255006532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9099 KATY FWY STE 140",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770241632",
            "telephone_number": "713-465-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 N AVENUE C",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786211528",
            "telephone_number": "512-281-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPIT DENTAL GROUP ELGIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A",
        "authorized_official_last_name": "NAVARRO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-677-9983",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@elginsmilesdental.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1309 N Avenue C",
            "city": "Elgin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786211528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Elgin Smiles Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Elgin, TX
• Providers in Elgin, 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 10, 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.