NPIMap

Organization Active NPI

A Tooth Fairy's Place

  • Dentist
  • Brownsville, TX
National Provider Identifier
1306227855
Registry record updated Jun 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30954 Issued in TX
Legal business name
A TOOTH FAIRY'S PLACE
Practice address
1725 Central Blvd
Brownsville, TX 78520-8328
Phone
(956) 541-3624
Fax
(956) 542-5998
NPI assigned
Jun 10, 2015
Last updated
Jun 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2015

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

Authorized official

Name
Dr. Sandra Dee Olivaes-Garcia, D.D.S
Title
Dentist
Phone
(956) 541-3624

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30954 TX Primary

Addresses

Primary practice location

1725 Central Blvd
Brownsville, TX 78520-8328

Mailing address

1725 Central Blvd
Brownsville, TX 78520-8328
Phone (956) 541-3624

National Provider Directory

National Provider Directory
Tax ID family
A Tooth Fairy's Place2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1306227855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208328",
            "telephone_number": "956-541-3624",
            "fax_number": "956-542-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 CENTRAL BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208328",
            "telephone_number": "956-541-3624",
            "fax_number": "956-542-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TOOTH FAIRY'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "OLIVAES-GARCIA",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "956-541-3624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.