New Braunfels Pediatric Dental Assoc PC Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

NEW BRAUNFELS PEDIATRIC DENTAL ASSOC PC INC

Practice address

1523 E Common St
New Braunfels, TX 78123

Phone

(830) 625-0202

Fax

(830) 608-0934

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Robert H Offutt, DDSNPI 1811073018

Title

VP Owner

Phone

(210) 771-4299

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.

• Robert H Offutt, DDS

  • Pediatric Dentistry
  • New Braunfels, TX
  • NPI 1811073018
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669559274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78123",
            "telephone_number": "830-625-0202",
            "fax_number": "830-608-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 E COMMON ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78123",
            "telephone_number": "830-625-0202",
            "fax_number": "830-608-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BRAUNFELS PEDIATRIC DENTAL ASSOC PC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OFFUTT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "VP OWNER",
        "authorized_official_telephone_number": "210-771-4299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Braunfels Modern Dentistry,PC
• New Braunfels OB GYN PA
• New Braunfels Orthodontic Associates, P.a.
• New Braunfels Pediatric Associates, P.a.
• New Braunfels Pediatric Associates, P.a.
• New Braunfels PM&R Physicians, PLLC
• New Braunfels Podiatry Associates, LLC
• New Braunfels Primary Care, PA
• New Braunfels Regional Rehabilitation Hospital, Inc.
• New Braunfels Regional Rehabilitation Hospital, Inc.

• Pediatric Dentistry in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.