NPIMap

Organization Active NPI

Jarrell Family Dentistry, PLLC

  • General Practice Dentistry
  • Jarrell, TX
National Provider Identifier
1619249208
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23130 Issued in TX
Legal business name
JARRELL FAMILY DENTISTRY, PLLC
Practice address
181 Town Center Blvd
100
Jarrell, TX 76537
Phone
(512) 868-5000
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Patrick Bell, DDSNPI 1871541698
Title
Owner
Phone
(512) 868-5000

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 23130 TX Primary

Addresses

Primary practice location

181 Town Center Blvd
100
Jarrell, TX 76537

Mailing address

400 Del Webb Blvd
104
Georgetown, TX 78633-4354
Phone (512) 868-5000

National Provider Directory

National Provider Directory

Locations

400 Del Webb Blvd
Ste 104
Georgetown, TX 78633
Phone (512) 868-5000

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1619249208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 DEL WEBB BLVD",
            "address_2": "104",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786334354",
            "telephone_number": "512-868-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 TOWN CENTER BLVD",
            "address_2": "100",
            "city": "JARRELL",
            "state": "TX",
            "postal_code": "76537",
            "telephone_number": "512-868-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARRELL FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-868-5000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jarrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.