Active NPI
TX Southern Dental PC
Doing business as Bay Area Dental Center
- Dentist
- League City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- TX SOUTHERN DENTAL PC
- Doing business as
- Bay Area Dental Center
- Practice address
- 6011 W Main St Ste A101
League City, TX 77573-7541 - Phone
- (281) 338-6559
- NPI assigned
- Jan 5, 2024
- Last updated
- Jan 5, 2024
- Organization subpart
- Yes
- Parent organization
- TX SOUTHERN DENTAL PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine Nelson
- Title
- VP, Revenue Cycle
- Phone
- (469) 450-6482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NU | Primary |
Addresses
Primary practice location
6011 W Main St Ste A101
League City, TX 77573-7541
Mailing address
5830 Granite Pkwy Ste 780
Plano, TX 75024-6775
Other names 1
- Bay Area Dental Center
National Provider Directory
National Provider Directory- Tax ID family
- TX Southern Dental PC
- Part of
- TX Southern Dental PC
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
-
dba C. Roger Macias, Jr., DDS
- General Practice Dentistry
- San Antonio, TX
- NPI 1194402917
-
dba Masters Dental Group, P.C.
- General Practice Dentistry
- San Antonio, TX
- NPI 1386223121
Locations
6011 W Main St
Ste A101
League City, TX 77573
Phone (281) 338-6559
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- League City, TX
- NPI 1619224599
-
- General Practice Dentistry
- League City, TX
- NPI 1811829757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1306616818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5830 GRANITE PKWY STE 780",
"city": "PLANO",
"state": "TX",
"postal_code": "750246775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6011 W MAIN ST STE A101",
"city": "LEAGUE CITY",
"state": "TX",
"postal_code": "775737541",
"telephone_number": "281-338-6559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TX SOUTHERN DENTAL PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TX SOUTHERN DENTAL PC",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "NELSON",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "VP, REVENUE CYCLE",
"authorized_official_telephone_number": "469-450-6482"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bay Area Dental Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in League City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.