NPIMap

Organization Active NPI

Deer Park Family Dentistry

  • General Practice Dentistry
  • Deer Park, TX
National Provider Identifier
1538557707
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17838 Issued in TX
Legal business name
DEER PARK FAMILY DENTISTRY
Practice address
4518 Center St
Deer Park, TX 77536-6351
Phone
(281) 479-2841
NPI assigned
Dec 22, 2014
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Karen Jane Reeves, D.D.S.NPI 1831587005
Title
Managing Partner/Dentist
Phone
(281) 479-2841

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 17838 TX Primary

Addresses

Primary practice location

4518 Center St
Deer Park, TX 77536-6351

Mailing address

4518 Center St
Deer Park, TX 77536-6351
Phone (281) 479-2841

National Provider Directory

National Provider Directory

Locations

4518 Center St
Deer Park, TX 77536
Phone (281) 479-2841

Practitioners & affiliated clinicians

Practitioners 4

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": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1538557707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4518 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366351",
            "telephone_number": "281-479-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 CENTER ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366351",
            "telephone_number": "281-479-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER PARK FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "MANAGING PARTNER/DENTIST",
        "authorized_official_telephone_number": "281-479-2841",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.