NPIMap

Organization Active NPI

Planet Oral Healthcare

  • Dentist
  • Laredo, TX
National Provider Identifier
1578824835
Registry record updated Jul 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PLANET ORAL HEALTHCARE
Practice address
1400 Guadalupe St
Suite a
Laredo, TX 78040-5343
Phone
(909) 648-6198
NPI assigned
Jun 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2012

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

Authorized official

Name
Dr. Matthew Staat, DDS
Title
President
Phone
(909) 648-6198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1400 Guadalupe St
Suite a
Laredo, TX 78040-5343

Mailing address

1400 Guadalupe St
Suite a
Laredo, TX 78040-5315

Other names 1

  • Planet Denatl and Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planet Denatl and Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1578824835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GUADALUPE ST",
            "address_2": "SUITE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GUADALUPE ST",
            "address_2": "SUITE A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780405343",
            "telephone_number": "909-648-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANET ORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "STAAT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-648-6198",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Planet Denatl and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.