Midland Park Mall Dental Practice, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MIDLAND PARK MALL DENTAL PRACTICE, P.C.

Practice address

4511 N Midkiff Rd Ste E15
Midland, TX 79705-3242

Phone

(432) 520-4867

Fax

(432) 694-7927

NPI assigned

Jan 11, 2011

Last updated

Jan 11, 2011By 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

Jennifer Owens

Title

Manager

Phone

(432) 520-4867

Specialties & licenses 1

Addresses

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.

• Russell Craig Toler, DDS

  • General Practice Dentistry
  • Midland, TX
  • NPI 1245301183
  NPD (past)

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1467757112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 N MIDKIFF RD STE E15",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053242",
            "telephone_number": "432-520-4867",
            "fax_number": "432-694-7927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 N MIDKIFF RD STE E15",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797053242",
            "telephone_number": "432-520-4867",
            "fax_number": "432-694-7927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDLAND PARK MALL DENTAL PRACTICE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "432-520-4867"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midland Memorial Outpatient Pharmacy
• Midland Minor PA (First Care)
• Midland Oral & Maxillofacial Surgery PA
• Midland Orthopedic Clinic (Midland Orthopedic Clinic Ambulatory Surgery Center)
• Midland Orthopedic Specialists Group
• Midland Pathologists, PA
• Midland Pediatric Association, PLLC
• Midland Pharmacy , LLC
• Midland Pharmacy Plus LLC (Medical Center Pharmacy)
• Midland Physical Therapy and Sports Rehabilitation Inc (Midland Physical Therapy)

• General Practice Dentistry in Midland, TX
• Providers in Midland, 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 Jan 11, 2011; 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.