NPIMap

Organization Active NPI

Dental Specialty of Saginaw

  • Endodontics
  • Saginaw, TX
National Provider Identifier
1437289733
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
20905 Issued in TX
Legal business name
DENTAL SPECIALTY OF SAGINAW
Practice address
701 W Bailey Boswell Rd
Saginaw, TX 76179-1007
Phone
(817) 367-6453
NPI assigned
Mar 6, 2007
Last updated
Aug 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Christiana Arredondo
Title
Insurance Rep
Phone
(817) 367-6453

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 20905 TX Primary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 16535 TX

Addresses

Primary practice location

701 W Bailey Boswell Rd
Saginaw, TX 76179-1007

Mailing address

701 W Bailey Boswell Rd
Saginaw, TX 76179-1007
Phone (817) 367-6453

National Provider Directory

National Provider Directory
Tax ID family
Ballard Family Dentistry in Boyd3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1437289733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791007",
            "telephone_number": "817-367-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BAILEY BOSWELL RD",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791007",
            "telephone_number": "817-367-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY OF SAGINAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "CHRISTIANA",
        "authorized_official_title_or_position": "INSURANCE REP",
        "authorized_official_telephone_number": "817-367-6453"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "20905",
            "primary": true
        },
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "16535",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.