NPIMap

Organization Active NPI

Ellis County Family Dentistry PLLC

Doing business as Ellis County Family Dentistry

  • Dental Clinic/Center
  • Waxahachie, TX
National Provider Identifier
1265159644
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ELLIS COUNTY FAMILY DENTISTRY PLLC
Doing business as
Ellis County Family Dentistry
Practice address
110 Park Place CT
Ste 100
Waxahachie, TX 75165
Phone
(972) 937-8433
Fax
(972) 725-7748
NPI assigned
Oct 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Dr. Michael Seth Atkins, DDSNPI 1578724316
Title
Managing Member
Phone
(817) 201-9765

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

110 Park Place CT
Ste 100
Waxahachie, TX 75165

Mailing address

110 Park Place CT
Ste 100
Waxahachie, TX 75165
Phone (972) 937-8433

Other names 1

  • Ellis County Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

110 Park Place Blvd
Ste 100
Waxahachie, TX 75165
Phone (972) 937-8433

Practitioners & affiliated clinicians

Practitioners 2

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": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1265159644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PARK PLACE CT",
            "address_2": "STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-937-8433",
            "fax_number": "972-725-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PARK PLACE CT",
            "address_2": "STE 100",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "75165",
            "telephone_number": "972-937-8433",
            "fax_number": "972-725-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS COUNTY FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SETH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "817-201-9765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellis County Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waxahachie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.