Organization Active NPI

Dimmitt Dental

  • Dental Clinic/Center
  • Dimmitt, TX
National Provider Identifier
1649918111
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DIMMITT DENTAL
Practice address
304 W Bedford St
Dimmitt, TX 79027-2508
Phone
(806) 681-4135
NPI assigned
May 24, 2022
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Jacob WoodsNPI 1538720446
Title
Dentist
Phone
(830) 377-7050

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

304 W Bedford St
Dimmitt, TX 79027-2508

Mailing address

304 W Bedford St
Dimmitt, TX 79027-2508
Phone (806) 681-4135

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dimmitt@westtexasdds.com Direct

National Provider Directory

National Provider Directory

Locations

304 W Bedford St
Dimmitt, TX 79027
Phone (806) 647-2188

Practitioners & affiliated clinicians

Practitioners 2

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": "1653350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1649918111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W BEDFORD ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "790272508",
            "telephone_number": "806-681-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W BEDFORD ST",
            "city": "DIMMITT",
            "state": "TX",
            "postal_code": "790272508",
            "telephone_number": "806-681-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIMMITT DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "830-377-7050"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dimmitt@westtexasdds.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "304 W Bedford St",
            "city": "Dimmitt",
            "state": "TX",
            "country_code": "US",
            "postal_code": "790272508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dimmitt, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.