Crystal Dental Care PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

31916 Issued in TX

Legal business name

CRYSTAL DENTAL CARE PLLC

Practice address

402 E Zavala St Ste 1
Crystal City, TX 78839-3337

Phone

(830) 326-2740

NPI assigned

Jan 8, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Vivek Singh, DDS

Title

Owner

Phone

(830) 326-2740

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1306353628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 MANSIONS BLFS APT 4301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782450019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E ZAVALA ST STE 1",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393337",
            "telephone_number": "830-326-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-326-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
            "identifier": "31916",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Childrens Clinic of Dimmit and Zavala PA
• Crystal City EMS
• Crystal City Independent School Distritct
• Crystal City Isd
• Crystal City Pharmacy LLC
• Crystal Drug LP
• Jennifer Dargis, PHARMD
• Roger Dehoyos, APRN
• Dimmit Regional Hospital
• Eduardo Moreno, M.D., Rural Health Clinic, LLP

• Dentist in Crystal City, TX
• Providers in Crystal City, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.