Organization Active NPI

Torres Dental Specialties PLLC

  • Endodontics
  • Georgetown, TX
National Provider Identifier
1619237062
Registry record updated May 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
16608 Issued in TX
Legal business name
TORRES DENTAL SPECIALTIES PLLC
Practice address
4402 Williams Dr
Suite #104
Georgetown, TX 78628-1300
Phone
(512) 240-4381
NPI assigned
May 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2012

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

Authorized official

Name
Dr. Craig Peter Torres, D.D.S.NPI 1659328573
Title
President
Phone
(512) 240-4381

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 16608 TX Primary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X 16609 TX

Addresses

Primary practice location

4402 Williams Dr
Suite #104
Georgetown, TX 78628-1300

Mailing address

4402 Williams Dr
Suite #104
Georgetown, TX 78628-1300
Phone (512) 240-4381

National Provider Directory

National Provider Directory

Locations

4402 Williams Dr
Ste 104
Georgetown, TX 78628
Phone (512) 240-4381

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337385600000",
    "number": "1619237062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 WILLIAMS DR",
            "address_2": "SUITE #104",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281300",
            "telephone_number": "512-240-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 WILLIAMS DR",
            "address_2": "SUITE #104",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786281300",
            "telephone_number": "512-240-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORRES DENTAL SPECIALTIES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-19",
        "last_updated": "2012-05-19",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-240-4381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "16608",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "16609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.