Paris Childrens Dentistry

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

21036 Issued in TX

Legal business name

PARIS CHILDRENS DENTISTRY

Practice address

4550 Lamar Ave
Suite 300
Paris, TX 75462-5124

Phone

(903) 905-4905

Fax

(903) 905-4904

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Allen I Pearson, DDS

Title

Owner

Phone

(903) 905-4905

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Paris Childrens Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paris Childrens Dentistry

  • Pediatric Dentistry
  • Paris, TX
  • NPI 1366771149
  NPD tax ID

Locations

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324857600000",
    "number": "1720355423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 LAMAR AVE",
            "address_2": "SUITE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625124",
            "telephone_number": "903-905-4905",
            "fax_number": "903-905-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 LAMAR AVE",
            "address_2": "SUITE 300",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754625124",
            "telephone_number": "903-905-4905",
            "fax_number": "903-905-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-12-26",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-905-4905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "21036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1554016-04",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paris Cardiology Center Cath Lab P.a.
• Paris Cardiology Center Cath Lab P.a.
• Paris Cardiology Center Obl
• Paris Cardiology LLC
• Paris Childrens Dentistry
• Paris Chiropractic Associates Inc
• Paris Chiropractic Center
• Paris Counseling Center, PA
• Paris Dental Arts PLLC
• Paris Dentistry PLLC

• Periodontics in Paris, TX
• Providers in Paris, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2011; 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.