NPIMap

Organization Active NPI

Parkview Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Lubbock, TX
National Provider Identifier
1447692439
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24601 Issued in TX
Legal business name
PARKVIEW PEDIATRIC DENTISTRY, PLLC
Practice address
7515 Quaker Ave
Suite 1
Lubbock, TX 79424-5308
Phone
(806) 928-6355
NPI assigned
Jul 19, 2013
Last updated
Jul 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Authorized official

Name
Dr. Dustin Sean Janssen, DDSNPI 1447486485
Title
Owner
Phone
(806) 928-6355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 24601 TX Primary

Addresses

Primary practice location

7515 Quaker Ave
Suite 1
Lubbock, TX 79424-5308

Mailing address

7515 Quaker Ave
Suite 1
Lubbock, TX 79424-5308
Phone (806) 928-6355

National Provider Directory

National Provider Directory

Locations

7515 Quaker Ave
Ste 1
Lubbock, TX 79424
Phone (806) 928-6355

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374192000000",
    "number": "1447692439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245308",
            "telephone_number": "806-928-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7515 QUAKER AVE",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794245308",
            "telephone_number": "806-928-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKVIEW PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-928-6355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; 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.