Organization Active NPI

Your Pediatric Dental Specialists of Saginaw PLLC

Doing business as Saginaw Kids Dentistry

  • Pediatric Dentistry
  • Saginaw, TX
National Provider Identifier
1619567229
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
YOUR PEDIATRIC DENTAL SPECIALISTS OF SAGINAW PLLC
Doing business as
Saginaw Kids Dentistry
Practice address
600 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131-3566
Phone
(682) 285-1900
Fax
(682) 282-1905
NPI assigned
Jan 19, 2021
Last updated
Jul 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Authorized official

Name
Dr. Elias Chahine, DMDNPI 1518353184
Title
Owner
Phone
(682) 285-1900

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
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

600 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131-3566

Mailing address

600 E Bailey Boswell Rd Ste 100
Saginaw, TX 76131-3566

Other names 1

  • Saginaw Kids Dentistry Doing business as

National Provider Directory

National Provider Directory

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": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1619567229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E BAILEY BOSWELL RD STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E BAILEY BOSWELL RD STE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313566",
            "telephone_number": "682-285-1900",
            "fax_number": "682-282-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR PEDIATRIC DENTAL SPECIALISTS OF SAGINAW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "CHAHINE",
        "authorized_official_first_name": "ELIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-285-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saginaw Kids Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.