Toothday at W. Main Ave., PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TOOTHDAY AT W. MAIN AVE., PLLC

Practice address

1315 W Main Ave Ste 10
Alton, TX 78573-1643

Phone

(956) 683-1600

NPI assigned

Apr 12, 2022

Organization subpart

No

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

Authorized official

Name

Sharon Garza

Title

Credentialing Manager

Phone

(817) 706-8189

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1477295210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S 23RD ST STE 11",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785038694",
            "telephone_number": "956-683-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 W MAIN AVE STE 10",
            "city": "ALTON",
            "state": "TX",
            "postal_code": "785731643",
            "telephone_number": "956-683-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHDAY AT W. MAIN AVE., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "817-706-8189"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Alton, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.