NPIMap

Organization Active NPI

Robert D. Esparza, DDS, PC

Doing business as MyDentist-Wichita Falls

  • General Practice Dentistry
  • Wichita Falls, TX
National Provider Identifier
1528488475
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ROBERT D. ESPARZA, DDS, PC
Doing business as
MyDentist-Wichita Falls
Practice address
3901 Kemp Blvd
Wichita Falls, TX 76308-2118
Phone
(940) 692-0083
NPI assigned
Apr 18, 2014
Last updated
Apr 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
ROBERT D. ESPARZA, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3901 Kemp Blvd
Wichita Falls, TX 76308-2118

Mailing address

3901 Kemp Blvd
Wichita Falls, TX 76308-2118

Other names 1

  • MyDentist-Wichita Falls Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texas Dental Health Professionals PC12 organizations share this tax ID, including this one
Part of
Texas Dental Health Professionals PC

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3901 Kemp Blvd
Wichita Falls, TX 76308
Phone (940) 488-4511

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1528488475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 KEMP BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763082118",
            "telephone_number": "940-692-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. ESPARZA, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT D. ESPARZA, DDS, PC",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentist-Wichita Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; 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.