Capital Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAPITAL DENTAL CARE

Practice address

2302 Sam Rayburn Highway
Ste 100
Melissa, TX 75454

Phone

(972) 590-8809

NPI assigned

Jan 10, 2019

Organization subpart

No

Name

Faith Gaskins

Title

Director of Credentialing

Phone

(972) 869-3789

Locations

• Melissa Dental and Orthodontics Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 11, 2022.

{
    "created_epoch": "1547078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1386117463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 734753",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753734753",
            "telephone_number": "972-869-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 SAM RAYBURN HIGHWAY",
            "address_2": "STE 100",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "75454",
            "telephone_number": "972-590-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-10",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "GASKINS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melissa Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Melissa Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenifer L Branson, PA
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• Amanda Danyelle Brunson, MA, LPC-S
• Taylor Catherine Burchel, PT, DPT
• Megan Campbell, OD
• Carey Hearing Centers LLC
• Ian Cole Carey
• Megan Carley, LCSW
• Zachary Casto
• Cenars Home Health LLC

• All providers in Melissa, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.