Bay City Kids Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BAY CITY KIDS DENTISTRY PLLC

Practice address

4208 Avenue F
Bay City, TX 77414-8006

Phone

(979) 541-5400

NPI assigned

Oct 23, 2019

Organization subpart

No

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

Authorized official

Name

Shaun Willis, DMDNPI 1942597976

Title

Owner

Phone

(979) 541-5400

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Shaun Willis, D.M.D.

  • General Practice Dentistry
  • El Campo, TX
  • NPI 1942597976
  Authorized official Same address or phone

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1578106464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774148006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 AVENUE F",
            "city": "BAY CITY",
            "state": "TX",
            "postal_code": "774148006",
            "telephone_number": "979-541-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY CITY KIDS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-541-5400",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bay City Dialysis Center LLP (Bay City Regional Dialysis Center)
• Bay City Family Dentistry PLLC (Dr. Teeth Dental Care)
• Bay City Health and Rehabilitation Center, LLC
• Bay City Imaging Inc
• Bay City Isd
• Bay City Pediatrics - Patricia a. Maxwell, M.D.
• Bay City Physcial Therapy Inc
• Bay City Physical Medicine, P.a.
• Bay City Texas Anesthesiologists, PA
• Bay Prairie Emergency Physicians PLLC

• General Practice Dentistry in Bay City, TX
• Providers in Bay City, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.