Airline Drive Family Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

AIRLINE DRIVE FAMILY DENTAL, PLLC

Practice address

7413 Airline Dr Ste 200
Houston, TX 77076-1038

Phone

(940) 220-7833

NPI assigned

Dec 27, 2021

Last updated

Jul 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Everett Chad Evans, DDSNPI 1407930050

Title

Owner/Dentist

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Everett Chad Evans, D.D.S.

  • Dentist
  • Denton, TX
  • NPI 1407930050
  Authorized official Same address or phone

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

{
    "created_epoch": "1640563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1427718857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N I 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438",
            "telephone_number": "940-220-7833",
            "fax_number": "855-731-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7413 AIRLINE DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761038",
            "telephone_number": "940-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRLINE DRIVE FAMILY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-27",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "CHAD",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "433415301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Airline Complete Healthcare of Texas, LTD,LLP
• Airline Dental Clinic
• Airline Dental Clinic
• Airline Diagnosis Center LLC
• Airline Doctors Family and Pediatric Clinics,PLLC
• Airline Family Practice Associates, Inc (Airline Medical Clinic)
• Airline Immunization Inc.
• Airline Pediatric Group, PA
• Airline Pharmacy Associates LLC
• Airline Physical Therapy & Chiropractic LLC

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.