NPIMap

Organization Active NPI

Dental Health Associates of TX, P.C.

Doing business as Dental Care of North Manor

  • General Practice Dentistry
  • Manor, TX
National Provider Identifier
1417834086
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF TX, P.C.
Doing business as
Dental Care of North Manor
Practice address
11930 US Highway 290 E
Unit 110
Manor, TX 78653-3254
Phone
(512) 402-5595
Fax
(512) 402-5578
NPI assigned
Aug 18, 2025
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TX, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Hillary Thull
Title
Credentialing Coordinator
Phone
(217) 540-8946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

11930 US Highway 290 E
Unit 110
Manor, TX 78653-3254

Mailing address

11930 US Highway 290 E
Unit 110
Manor, TX 78653-3254

Other names 1

  • Dental Care of North Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

11930 US Highway 290 E
Unit 110
Manor, TX 78653
Phone (512) 402-5595

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": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1417834086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11930 US HIGHWAY 290 E",
            "address_2": "UNIT 110",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 US HIGHWAY 290 E",
            "address_2": "UNIT 110",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786533254",
            "telephone_number": "512-402-5595",
            "fax_number": "512-402-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TX, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TX, P.C.",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "THULL",
        "authorized_official_first_name": "HILLARY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8946"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care of North Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manor, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.