Organization Active NPI

Heb Family Dentistry

  • Dentist
  • Euless, TX
National Provider Identifier
1376908947
Registry record updated Dec 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HEB FAMILY DENTISTRY
Practice address
220 W Harwood Rd
Ste # 100
Euless, TX 76039-3364
Phone
(817) 857-1046
NPI assigned
Dec 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2015

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

Authorized official

Name
Dr. Rushi B Master, DDS
Title
Dentist
Phone
(817) 857-1046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

220 W Harwood Rd
Ste # 100
Euless, TX 76039-3364

Mailing address

220 W Harwood Rd
Ste # 100
Euless, TX 76039-3364
Phone (817) 857-1046

Other identifiers 1

IdentifierTypeStateIssuer
167176012MedicaidTX

National Provider Directory

National Provider Directory

Locations

220 W Harwood Rd
Ste 100
Euless, TX 76039
Phone (817) 857-1046

Practitioners & affiliated clinicians

Practitioners 1

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": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1376908947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W HARWOOD RD",
            "address_2": "STE # 100",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760393364",
            "telephone_number": "817-857-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HARWOOD RD",
            "address_2": "STE # 100",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760393364",
            "telephone_number": "817-857-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEB FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "MASTER",
        "authorized_official_first_name": "RUSHI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-857-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167176012",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.