Organization Active NPI

CFD Group, PLLC

  • General Practice Dentistry
  • Killeen, TX
National Provider Identifier
1487048435
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22551 Issued in TX
Legal business name
CFD GROUP, PLLC
Practice address
3202 S W S Young Dr
Suite 101
Killeen, TX 76542-6537
Phone
(254) 519-2875
NPI assigned
Mar 26, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Authorized official

Name
Mr. Joseph Kim Drinkwater, D.D.S.NPI 1972568020
Title
Owner
Phone
(254) 519-2875

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22551 TX Primary

Addresses

Primary practice location

3202 S W S Young Dr
Suite 101
Killeen, TX 76542-6537

Mailing address

3202 S W S Young Dr
Suite 101
Killeen, TX 76542-6537
Phone (254) 519-2875

Other identifiers 1

IdentifierTypeStateIssuer
3402653MedicaidTX

Other names 1

  • Central Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3202 S W S Young Dr
Ste 101
Killeen, TX 76542
Phone (254) 519-2875

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427328000000",
    "number": "1487048435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 S W S YOUNG DR",
            "address_2": "SUITE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426537",
            "telephone_number": "254-519-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3202 S W S YOUNG DR",
            "address_2": "SUITE 101",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426537",
            "telephone_number": "254-519-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFD GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A",
        "authorized_official_last_name": "DRINKWATER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-519-2875",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3402653",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.