Organization Active NPI

Ted & Associate, PC

  • General Practice Dentistry
  • Taylor, TX
National Provider Identifier
1376820308
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14486 Issued in TX
Legal business name
TED & ASSOCIATE, PC
Practice address
3705 N Main St # 200
Taylor, TX 76574-4981
Phone
(512) 352-1515
Fax
(512) 352-1516
NPI assigned
Nov 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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

Authorized official

Name
Dr. Paul T Dabney, DDS
Title
Dentist/ Owner
Phone
(512) 352-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14486 TX Primary

Addresses

Primary practice location

3705 N Main St # 200
Taylor, TX 76574-4981

Mailing address

3705 N Main St # 200
Taylor, TX 76574-4981
Phone (512) 352-1515

National Provider Directory

National Provider Directory
Tax ID family
Lakeline Mall Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3705 N Main St
Ste 200
Taylor, TX 76574
Phone (512) 352-1515

NPI Registry JSON

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

{
    "created_epoch": "1320364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320364800000",
    "number": "1376820308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 N MAIN ST # 200",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744981",
            "telephone_number": "512-352-1515",
            "fax_number": "512-352-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 N MAIN ST # 200",
            "city": "TAYLOR",
            "state": "TX",
            "postal_code": "765744981",
            "telephone_number": "512-352-1515",
            "fax_number": "512-352-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED & ASSOCIATE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-04",
        "last_updated": "2011-11-04",
        "status": "A",
        "authorized_official_last_name": "DABNEY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST/ OWNER",
        "authorized_official_telephone_number": "512-352-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; 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.