NPIMap

Organization Active NPI

Window to the Body

Doing business as The Detnal Ranch

  • Pediatric Dentistry
  • Kaufman, TX
National Provider Identifier
1407189517
Registry record updated Sep 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
WINDOW TO THE BODY
Doing business as
The Detnal Ranch
Practice address
850 W Hwy 243
Kaufman, TX 75142
Phone
(888) 336-8839
Fax
(972) 438-2540
NPI assigned
Sep 9, 2009
Last updated
Sep 9, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
WINDOW TO THE BODYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2009

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

Authorized official

Name
Matt Frederick Kern
Title
President
Phone
(888) 336-8839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

850 W Hwy 243
Kaufman, TX 75142

Mailing address

850 W Hwy 243
Kaufman, TX 75142
Phone (888) 336-8839

Other names 1

  • THE DETNAL RANCH Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Window to the Body2 organizations share this tax ID, including this one
Part of
Window to the Body

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1407189517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HWY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "75142",
            "telephone_number": "888-336-8839",
            "fax_number": "972-438-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HWY 243",
            "city": "KAUFMAN",
            "state": "TX",
            "postal_code": "75142",
            "telephone_number": "888-336-8839",
            "fax_number": "972-438-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDOW TO THE BODY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WINDOW TO THE BODY",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "KERN",
        "authorized_official_first_name": "MATT",
        "authorized_official_middle_name": "FREDERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-336-8839"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE DETNAL RANCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kaufman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.