Organization Active NPI

Savannah Molina PLLC

  • General Practice Dentistry
  • Aubrey, TX
National Provider Identifier
1306221502
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27850 Issued in TX
Legal business name
SAVANNAH MOLINA PLLC
Practice address
26795 US Highway 380 E
Suite 400
Aubrey, TX 76227-7853
Phone
(817) 385-7453
NPI assigned
Jul 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Antonio Molina, DDS
Title
President
Phone
(305) 632-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27850 TX Primary

Addresses

Primary practice location

26795 US Highway 380 E
Suite 400
Aubrey, TX 76227-7853

Mailing address

26795 US Highway 380 E
Suite 400
Aubrey, TX 76227-7853
Phone (817) 385-7453

National Provider Directory

National Provider Directory

Locations

26795 US Highway 380 E
Ste 400
Aubrey, TX 76227
Phone (972) 347-6200

NPI Registry JSON

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1306221502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26795 US HIGHWAY 380 E",
            "address_2": "SUITE 400",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277853",
            "telephone_number": "817-385-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26795 US HIGHWAY 380 E",
            "address_2": "SUITE 400",
            "city": "AUBREY",
            "state": "TX",
            "postal_code": "762277853",
            "telephone_number": "817-385-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVANNAH MOLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-2530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aubrey, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.