Texas Dental Associates PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TEXAS DENTAL ASSOCIATES PLLC

Practice address

5240 FM 2920 Rd # 400
Spring, TX 77388-3003

Phone

(903) 245-7245

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Shervin Amini

Title

Manager

Phone

(713) 465-8239

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1679306351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 FM 2920 RD # 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 FM 2920 RD # 400",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883003",
            "telephone_number": "903-245-7245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "AMINI",
        "authorized_official_first_name": "SHERVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "713-465-8239"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Spring, TX
• Providers in Spring, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.