Just for Kids Dental Ennis

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JUST FOR KIDS DENTAL ENNIS

Practice address

711 S Clay St
Ennis, TX 75119-5748

Phone

(972) 351-9700

Fax

(888) 222-9544

NPI assigned

Mar 28, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Martha L Herron

Title

Insurance Coordinator

Phone

(972) 351-9700

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1332892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1629344239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S CLAY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195748",
            "telephone_number": "972-351-9700",
            "fax_number": "888-222-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S CLAY ST",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751195748",
            "telephone_number": "972-351-9700",
            "fax_number": "888-222-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS DENTAL ENNIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "HERRON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "972-351-9700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sanil Mathew John
• Margarita Rosendo Johnston, MD
• Edward Jason Jones, MSN, APRN, FNP-C
• Jose Salguero MD PA
• Jose Salguero, MD, PA
• Angela Kellam
• Lemuel Wayne Kemp Jr., FNP
• Kimberly Tyner MD, PA
• Rebecca Sue King, PTA
• Janeal Louise Kitchens, NP

• Pediatric Dentistry in Ennis, TX
• Providers in Ennis, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.