NPIMap

Organization Active NPI

Greenville Tiny Teeth PLLC

  • Pediatric Dentistry
  • Greenville, TX
National Provider Identifier
1699208488
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
27169 Issued in TX
Legal business name
GREENVILLE TINY TEETH PLLC
Practice address
3206 I 30
Suite C
Greenville, TX 75402-7000
Phone
(469) 207-0302
NPI assigned
Apr 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Dr. James Slaughter III, DDSNPI 1396033643
Title
Owner/Dentist
Phone
(469) 207-0302

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 27169 TX Primary

Addresses

Primary practice location

3206 I 30
Suite C
Greenville, TX 75402-7000

Mailing address

3206 I 30
Suite C
Greenville, TX 75402-7000
Phone (469) 207-0302

Other names 1

  • Texas Tiny Teeth Doing business as

National Provider Directory

National Provider Directory

Locations

3206 Interstate Highway 30
Ste C
Greenville, TX 75402
Phone (469) 207-0302

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": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1699208488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 I 30",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754027000",
            "telephone_number": "469-207-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3206 I 30",
            "address_2": "SUITE C",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754027000",
            "telephone_number": "469-207-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE TINY TEETH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SLAUGHTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "469-207-0302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "27169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Tiny Teeth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.