Organization Active NPI

Pediatric Dentistry for Small Smiles, P.a.

  • Pediatric Dentistry
  • McKinney, TX
National Provider Identifier
1598959819
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
23186 Issued in TX
Legal business name
PEDIATRIC DENTISTRY FOR SMALL SMILES, P.A.
Practice address
5971 Virginia Parkway, Ste. 300
McKinney, TX 75071
Phone
(469) 441-2698
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Dr. Ty Hinze, D.D.S.
Title
President
Phone
(469) 441-2698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 23186 TX Primary

Addresses

Primary practice location

5971 Virginia Parkway, Ste. 300
McKinney, TX 75071

Mailing address

1631 Antique LN
Brenham, TX 77833-6760
Phone (469) 441-2698

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1598959819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ANTIQUE LN",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778336760",
            "telephone_number": "469-441-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5971 VIRGINIA PARKWAY, STE. 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75071",
            "telephone_number": "469-441-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY FOR SMALL SMILES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "HINZE",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-441-2698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.