Texas Grins Family Dentistry, PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

22460 Issued in TX

Legal business name

TEXAS GRINS FAMILY DENTISTRY, PA

Practice address

136 El Chico TRL
Suite 101
Willow Park, TX 76087-8863

Phone

(817) 441-3232

Fax

(817) 441-2230

NPI assigned

Oct 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Ryan Crain, DDSNPI 1982762753

Title

Owner

Phone

(817) 441-3232

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Ryan Crain, DDS

  • Dentist
  • Tulsa, OK
  • NPI 1982762753
  NPD (past) Authorized official

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1619252293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 EL CHICO TRL",
            "address_2": "SUITE 101",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878863",
            "telephone_number": "817-441-3232",
            "fax_number": "817-441-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 EL CHICO TRL",
            "address_2": "SUITE 101",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760878863",
            "telephone_number": "817-441-3232",
            "fax_number": "817-441-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS GRINS FAMILY DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-441-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "22460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shams S.M. Tabrez, M.D.
• Tackett Pharmacy
• Tackett Pharmacy
• Julia Beth Talboys, FNP-C
• Richard Steven Taylor, LPC, LMSW
• Texas Health Care, P.L.L.C.
• Texas Health Care, PLLC
• Texas Health Surgery Center Willow Park LLC
• Kailey Thompson
• Thrive Behavior Centers LLC

• Customized Equipment (DME) in Willow Park, TX
• Providers in Willow Park, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.