Organization Active NPI

1221 Dental Family Business, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Heath, TX
National Provider Identifier
1356990519
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
1221 DENTAL FAMILY BUSINESS, PLLC
Practice address
6435 S FM 549 Ste 200
Heath, TX 75032-6224
Phone
(972) 722-4376
Fax
(469) 264-7148
NPI assigned
Sep 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Dr. William Douglass Beaber, DMD
Title
President
Phone
(972) 722-4376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

6435 S FM 549 Ste 200
Heath, TX 75032-6224

Mailing address

6435 S FM 549 Ste 200
Heath, TX 75032-6224
Phone (972) 722-4376

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Heath Direct

National Provider Directory

National Provider Directory
Tax ID family
1221 Dental Family Business PLLC2 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.

Locations

6435 S FM 549
Rockwall, TX 75032
Phone (214) 271-4585

NPI Registry JSON

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1356990519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 S FM 549 STE 200",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326224",
            "telephone_number": "972-722-4376",
            "fax_number": "469-264-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 S FM 549 STE 200",
            "city": "HEATH",
            "state": "TX",
            "postal_code": "750326224",
            "telephone_number": "972-722-4376",
            "fax_number": "469-264-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1221 DENTAL FAMILY BUSINESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "BEABER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DOUGLASS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-722-4376",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Heath",
            "affiliation": "N",
            "endpointDescription": "local landline",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6435 S Fm 549",
            "city": "Heath",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750326220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Heath, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.