NPIMap

Organization Active NPI

Texas Dental Sleep Services PLLC

  • Dentist
  • Bryan, TX
National Provider Identifier
1407617350
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TEXAS DENTAL SLEEP SERVICES PLLC
Practice address
1719 Broadmoor Drive
Bryan, TX 77802
Phone
(512) 338-8120
NPI assigned
Jan 18, 2024
Organization subpart
Yes
Parent organization
TEXAS DENTAL SLEEP SERVICES PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Eric Northey, MR.
Title
Chief Executive Officer (Ceo)
Phone
(833) 275-3372

Specialties & licenses 1

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

Addresses

Primary practice location

1719 Broadmoor Drive
Bryan, TX 77802

Mailing address

12505 Hymeadow Dr Ste 2E
Austin, TX 78750-1866
Phone (512) 338-8120

National Provider Directory

National Provider Directory
Tax ID family
Texas Dental Sleep Services PLLC12 organizations share this tax ID, including this one
Part of
Texas Dental Sleep Services PLLC

Other organizations with this tax ID 11

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1407617350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12505 HYMEADOW DR STE 2E",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501866",
            "telephone_number": "512-338-8120",
            "fax_number": "512-338-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 BROADMOOR DRIVE",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "77802",
            "telephone_number": "512-338-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL SLEEP SERVICES PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS DENTAL SLEEP SERVICES PLLC",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "NORTHEY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "833-275-3372",
        "authorized_official_credential": "MR."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.