Organization Active NPI

Children'S Dental Centre of Coppell

  • Pediatric Dentistry
  • Coppell, TX
National Provider Identifier
1689466369
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CHILDREN'S DENTAL CENTRE OF COPPELL
Practice address
120 S Denton Tap Rd Ste 230
Coppell, TX 75019-5159
Phone
(214) 484-3199
Fax
(214) 484-3218
NPI assigned
May 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Reena Kuba, DDS, MSNPI 1164516902
Title
Owner
Phone
(214) 484-3199

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: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

120 S Denton Tap Rd Ste 230
Coppell, TX 75019-5159

Mailing address

120 S Denton Tap Rd Ste 230
Coppell, TX 75019-5159
Phone (214) 484-3199

National Provider Directory

National Provider Directory

Locations

120 S Denton Tap Rd
Ste 230
Coppell, TX 75019
Phone (214) 484-3199

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1689466369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD STE 230",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195159",
            "telephone_number": "214-484-3199",
            "fax_number": "214-484-3218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S DENTON TAP RD STE 230",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195159",
            "telephone_number": "214-484-3199",
            "fax_number": "214-484-3218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL CENTRE OF COPPELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "KUBA",
        "authorized_official_first_name": "REENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-484-3199",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.