NPIMap

Organization Active NPI

Robby Jennings Dental

Doing business as Tyler Family Dental

  • Dentist
  • Tyler, TX
National Provider Identifier
1255519575
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18962 Issued in TX
Legal business name
ROBBY JENNINGS DENTAL
Doing business as
Tyler Family Dental
Practice address
209 W 8TH St
Tyler, TX 75701-4102
Phone
(903) 597-3940
Fax
(903) 526-2631
NPI assigned
Feb 8, 2008
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. William Robert Jennings Jr., DDSNPI 1902829070
Title
Owner/Dentist
Phone
(903) 597-3940

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
Dentist 122300000X 18962 TX Primary

Addresses

Primary practice location

209 W 8TH St
Tyler, TX 75701-4102

Mailing address

2002 S Stemmons Fwy Ste 500
Lake Dallas, TX 75065-3633
Phone (940) 321-2053

Other names 1

  • Tyler Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Robby Jennings Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2002 S Stemmons Fwy
Ste 500
Lake Dallas, TX 75065

209 W 8th St
Tyler, TX 75701
Phone (903) 597-3940

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1255519575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 S STEMMONS FWY STE 500",
            "city": "LAKE DALLAS",
            "state": "TX",
            "postal_code": "750653633",
            "telephone_number": "940-321-2053",
            "fax_number": "940-321-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 8TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757014102",
            "telephone_number": "903-597-3940",
            "fax_number": "903-526-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBBY JENNINGS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-597-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tyler Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; 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.