Pediatric Dentistry of Bastrop PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTISTRY OF BASTROP PLLC

Practice address

751 Best Dr Ste C
Seguin, TX 78155-3637

Phone

(830) 837-0153

NPI assigned

Jul 16, 2024

Last updated

Aug 13, 2024By 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

Dr. Matthew Lassen, DMD

Title

Member

Phone

(801) 362-1848

Specialties & licenses 1

Addresses

Locations

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.

• Kristopher K Bennion, DMD

  • Pediatric Dentistry
  • Seguin, TX
  • NPI 1477710390
  NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1487492450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CHESTNUT ST",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023307",
            "telephone_number": "830-837-0153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BEST DR STE C",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781553637",
            "telephone_number": "830-837-0153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1207 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Bastrop",
            "state": "TX",
            "postal_code": "786023307",
            "country_code": "US",
            "telephone_number": "830-837-0153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF BASTROP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "LASSEN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "801-362-1848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parkers City Pharmacy Inc (Parkers City Pharmacy)
• Tejash Patel, DMD
• Bryan T. Patterson, D.P.M.
• Jane Virginia Pearce, MD
• Pecan Country Chiropractic, LLC
• Brittany Danielle Pena, LPC
• Melany Pena
• Miranda Pena
• David Perches, M.D.
• Linda Perez

• Pediatric Dentistry in Seguin, TX
• Providers in Seguin, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.