NPIMap

Organization Active NPI

Texas Dental Holdings, PLLC

  • General Practice Dentistry
  • Southlake, TX
National Provider Identifier
1487981072
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TX20397 Issued in TX
Legal business name
TEXAS DENTAL HOLDINGS, PLLC
Practice address
500 W Southlake Blvd #130
Southlake, TX 76092-6163
Phone
(817) 991-9478
NPI assigned
Nov 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Todd Gathright, DDS
Title
President
Phone
(817) 991-9478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TX20397 TX Primary

Addresses

Primary practice location

500 W Southlake Blvd #130
Southlake, TX 76092-6163

Mailing address

500 W Southlake Blvd #130
Southlake, TX 76092-6163
Phone (817) 991-9478

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1487981072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W SOUTHLAKE BLVD #130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926163",
            "telephone_number": "817-991-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W SOUTHLAKE BLVD #130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926163",
            "telephone_number": "817-991-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL HOLDINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-03",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "GATHRIGHT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-991-9478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "TX20397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.