Organization Active NPI

Dentrust Dental Texas, P.C.

Doing business as DOCS Health

  • Multi-Specialty Clinic/Center
  • Pflugerville, TX
National Provider Identifier
1376631101
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DENTRUST DENTAL TEXAS, P.C.
Doing business as
DOCS Health
Practice address
13405 Immanuel Rd Ste B
Pflugerville, TX 78660-8337
Phone
(267) 927-5000
Fax
(267) 927-5007
NPI assigned
Oct 10, 2006
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Dan Decarlo
Title
VP Finance
Phone
(267) 362-5869

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Dentist 122300000X NU

Addresses

Primary practice location

13405 Immanuel Rd Ste B
Pflugerville, TX 78660-8337

Mailing address

6097 Easton Rd
Pipersville, PA 18947-1810
Phone (267) 927-5000

Other practice location 1

254 Cafferty Rd
Pipersville, PA 18947-9337
Phone (610) 294-7994

Other names 1

  • DOCS Health Doing business as

National Provider Directory

National Provider Directory

Locations

13405 Immanuel Rd
Ste B
Pflugerville, TX 78660
Phone (267) 362-5869

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1376631101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6097 EASTON RD",
            "city": "PIPERSVILLE",
            "state": "PA",
            "postal_code": "189471810",
            "telephone_number": "267-927-5000",
            "fax_number": "267-927-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 IMMANUEL RD STE B",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786608337",
            "telephone_number": "267-927-5000",
            "fax_number": "267-927-5007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "254 Cafferty Rd",
            "address_purpose": "LOCATION",
            "city": "Pipersville",
            "state": "PA",
            "postal_code": "189479337",
            "country_code": "US",
            "telephone_number": "610-294-7994",
            "fax_number": "610-294-7995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DENTRUST DENTAL TEXAS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "DECARLO",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "267-362-5869"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCS Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DOCS Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.