NPIMap

Organization Active NPI

Duffy Dental Ranch

  • Dental Clinic/Center
  • Justin, TX
National Provider Identifier
1346832078
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DUFFY DENTAL RANCH
Practice address
100 Hardeman Blvd.
Justin, TX 76247
Phone
(940) 278-0909
Fax
(940) 278-0908
NPI assigned
Feb 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Authorized official

Name
Teressa Keith
Title
Practice Administrator
Phone
(940) 278-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

100 Hardeman Blvd.
Justin, TX 76247

Mailing address

100 Hardeman Blvd.
Justin, TX 76247
Phone (940) 278-0909

Other names 1

  • Debra Duffy DDS Other name

National Provider Directory

National Provider Directory

Locations

100 Hardeman Blvd
Justin, TX 76247
Phone (940) 278-0909

Practitioners & affiliated clinicians

Practitioners 2

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": "1612396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612396800000",
    "number": "1346832078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HARDEMAN BLVD.",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-278-0909",
            "fax_number": "940-278-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HARDEMAN BLVD.",
            "city": "JUSTIN",
            "state": "TX",
            "postal_code": "76247",
            "telephone_number": "940-278-0909",
            "fax_number": "940-278-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFY DENTAL RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "TERESSA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "940-278-0909"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Debra Duffy DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Justin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.