NPIMap

Organization Active NPI

Victoria Family Dentistry

  • Dentist
  • Victoria, TX
National Provider Identifier
1265698906
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19166 Issued in TX
Legal business name
VICTORIA FAMILY DENTISTRY
Practice address
107 Professional Park Dr.
Victoria Family Dentistry
Victoria, TX 77904
Phone
(361) 575-4508
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. Richard HeardNPI 1699890608
Title
Dentist
Phone
(361) 575-4508

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 19166 TX Primary

Addresses

Primary practice location

107 Professional Park Dr.
Victoria Family Dentistry
Victoria, TX 77904

Mailing address

107 Professional Park Dr.
Victoria Family Dentistry
Victoria, TX 77904

National Provider Directory

National Provider Directory

Locations

107 Professional Park Dr
Victoria, TX 77904
Phone (361) 575-4508

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": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1265698906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 PROFESSIONAL PARK DR.",
            "address_2": "VICTORIA FAMILY DENTISTRY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 PROFESSIONAL PARK DR.",
            "address_2": "VICTORIA FAMILY DENTISTRY",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "77904",
            "telephone_number": "361-575-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "361-575-4508",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.