Active NPI
PDB Dental PLLC
- General Practice Dentistry
- Bay City, TX
National Provider Identifier
1417420837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider Directory- Tax ID family
- PDB Dental PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Baycity, TX
- NPI 1376017145
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.
-
- General Practice Dentistry
- Brenham, TX
- NPI 1235641416
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.