Organization Active NPI

Alex Dougherty DDS PLLC

  • Dental Clinic/Center
  • College Station, TX
National Provider Identifier
1295620698
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ALEX DOUGHERTY DDS PLLC
Practice address
2709 Texas Ave S
Suite 100
College Station, TX 77840
Phone
(979) 457-1287
NPI assigned
Jun 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Alexander Dougherty, DDSNPI 1457973174
Title
Owner
Phone
(979) 457-1287

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

2709 Texas Ave S
Suite 100
College Station, TX 77840

Mailing address

2709 Texas Ave S
Suite 100
College Station, TX 77840
Phone (979) 457-1287

National Provider Directory

National Provider Directory

Locations

2709 Texas Ave S
Ste 100
College Station, TX 77840
Phone (979) 457-1287

Practitioners & affiliated clinicians

Practitioners 1

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": "1749427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1295620698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 TEXAS AVE S",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-457-1287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 TEXAS AVE S",
            "address_2": "SUITE 100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "77840",
            "telephone_number": "979-457-1287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX DOUGHERTY DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DOUGHERTY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-457-1287",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.