Hondo Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24348 Issued in TX

Legal business name

HONDO DENTAL PLLC

Practice address

166 Menefee St Ste C
Hondo, TX 78861-3713

Phone

(830) 426-2255

NPI assigned

Jan 31, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Darren Earl Boggs

Title

Chief of Operations

Phone

(940) 368-1495

Specialties & licenses 1

Addresses

Other names 1

• Fiesta Dental Doing business as

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1548768930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "940-368-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 MENEFEE ST STE C",
            "city": "HONDO",
            "state": "TX",
            "postal_code": "788613713",
            "telephone_number": "830-426-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONDO DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "940-368-1495",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fiesta Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Wayne Hanson, LVN
• Leslie Laro Hayes, M.A., M.ED., LMFT
• Robert Frank Hays Jr., MD
• Julianna Height, LPC
• Karen Lynn Hinds, OT
• Hondo Emergency Physicians PLLC
• Hondo Hospital Authority
• Hondo Hospital Authoriy
• Hondo Hosptial Authority
• Hondo Independent School District

• All providers in Hondo, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.