Active NPI
Nicholas Joel Acosta, D.D.S.
- Dentist
- Waxahachie, TX
National Provider Identifier
1265870745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28920
- Practice address
- 125 Park Place Blvd
Waxahachie, TX 75165-9106 - Phone
- (972) 937-4370
- NPI assigned
- Jun 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28920 | TX | Primary |
Addresses
Primary practice location
125 Park Place Blvd
Waxahachie, TX 75165-9106
Mailing address
125 Park Place Blvd
Waxahachie, TX 75165-9106
Phone (972) 937-4370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28920 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waxahachie Family Dentistry, LLP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Customized Equipment (DME)
- Waxahachie, TX
- NPI 1801256797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474588800000",
"number": "1265870745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 PARK PLACE BLVD",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751659106",
"telephone_number": "972-937-4370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 PARK PLACE BLVD",
"city": "WAXAHACHIE",
"state": "TX",
"postal_code": "751659106",
"telephone_number": "972-937-4370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA",
"first_name": "NICHOLAS",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-06",
"last_updated": "2016-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.