Organization Active NPI

Pediatric Dentistry of Denton

  • Pediatric Dentistry
  • Denton, TX
National Provider Identifier
1417366998
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
PEDIATRIC DENTISTRY OF DENTON
Practice address
2185 Brinker Rd
Suite 110
Denton, TX 76208-6986
Phone
(618) 334-6833
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Dr. Francisco Jose Rodriguez, DDS, MS
Title
Pediatric Dentist
Phone
(618) 334-6833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X TX Primary

Addresses

Primary practice location

2185 Brinker Rd
Suite 110
Denton, TX 76208-6986

Mailing address

2708 Prescotte Pointe
McKinney, TX 75071-2773
Phone (214) 856-5094

National Provider Directory

National Provider Directory

Locations

2185 Brinker Rd
Ste 110
Denton, TX 76208
Phone (618) 334-6833

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1417366998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 PRESCOTTE POINTE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712773",
            "telephone_number": "214-856-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2185 BRINKER RD",
            "address_2": "SUITE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762086986",
            "telephone_number": "618-334-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF DENTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "618-334-6833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.