Organization Active NPI

Dublin Family Dentistry, P.C.

  • General Practice Dentistry
  • Dublin, TX
National Provider Identifier
1497001002
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25447 Issued in TX
Legal business name
DUBLIN FAMILY DENTISTRY, P.C.
Practice address
117 N Grafton St
Dublin, TX 76446-1907
Phone
(254) 445-2442
Fax
(254) 445-4779
NPI assigned
Aug 1, 2012
Last updated
Aug 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Dr. Brandi Burgan, DDS
Title
Business Owner
Phone
(254) 445-2442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25447 TX Primary

Addresses

Primary practice location

117 N Grafton St
Dublin, TX 76446-1907

Mailing address

117 N Grafton St
Dublin, TX 76446-1907
Phone (254) 445-2442

Other identifiers 1

IdentifierTypeStateIssuer
217305601MedicaidTX

National Provider Directory

National Provider Directory

Locations

117 N Grafton St
Dublin, TX 76446
Phone (254) 445-2442

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1497001002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N GRAFTON ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461907",
            "telephone_number": "254-445-2442",
            "fax_number": "254-445-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N GRAFTON ST",
            "city": "DUBLIN",
            "state": "TX",
            "postal_code": "764461907",
            "telephone_number": "254-445-2442",
            "fax_number": "254-445-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBLIN FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "BURGAN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "254-445-2442",
        "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": "25447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217305601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.