Organization Active NPI

PDB Dental PLLC

  • General Practice Dentistry
  • Bay City, TX
National Provider Identifier
1417420837
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PDB DENTAL PLLC
Doing business as
Perfect Dental of Baycity
Practice address
4310 7TH St Ste 800
Bay City, TX 77414-5289
Phone
(979) 245-2277
Fax
(979) 245-2287
NPI assigned
Jan 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2019

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

Authorized official

Name
Erika Medrano
Title
Billing
Phone
(281) 232-6610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4310 7TH St Ste 800
Bay City, TX 77414-5289

Mailing address

4310 7TH St Ste 800
Bay City, TX 77414-5289
Phone (979) 245-2277

Other names 1

  • Perfect Dental of Baycity Doing business as

National Provider Directory

National Provider Directory
Tax ID family
PDB Dental PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4310 7th St
Ste 800
Bay City, TX 77414
Phone (979) 245-2277

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": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546905600000",
    "number": "1417420837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 7TH ST STE 800",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774145289",
            "telephone_number": "979-245-2277",
            "fax_number": "979-245-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 7TH ST STE 800",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774145289",
            "telephone_number": "979-245-2277",
            "fax_number": "979-245-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDB DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2019-01-08",
        "status": "A",
        "authorized_official_last_name": "MEDRANO",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "281-232-6610"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perfect Dental of Baycity",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.