The Texas Children'S Dental Universe

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17982 Issued in TX

Legal business name

THE TEXAS CHILDREN'S DENTAL UNIVERSE

Practice address

1114 14TH St N
Texas City, TX 77590-5413

Phone

(409) 945-8080

Fax

(409) 945-4325

NPI assigned

Jan 30, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Melonie Rachel Dutton, D.D.S. (PEDIATRICS)NPI 1508986183

Title

Owner

Phone

(409) 945-8080

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melonie Rachel Dutton, D.D.S. (PEDIATRICS)

  • Pediatric Dentistry
  • Texas City, TX
  • NPI 1508986183
  NPD (past) Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268611200000",
    "number": "1285811364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 14TH ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905413",
            "telephone_number": "409-945-8080",
            "fax_number": "409-945-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 14TH ST N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775905413",
            "telephone_number": "409-945-8080",
            "fax_number": "409-945-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TEXAS CHILDREN'S DENTAL UNIVERSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2010-03-15",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "MELONIE",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-945-8080",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S. (PEDIATRICS)"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17982",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "17982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "G60405-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "840977",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149758802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Texas City MWP
• Texas City Urgent Care, LLC
• Texas Oncology PA
• The Gulf Coast Center
• The Medical Social Worker Therapy & Consulting LLC
• Kymberly Theriot
• Somavetey Thol, PHARMD
• Tamara Thomas
• Tramica Thomas, FNP
• Anastasia Thomason

• Pediatric Dentistry in Texas City, TX
• Providers in Texas City, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; 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.