Active NPI
Dental Group, PC
Doing business as Affordable Dental
- Dentist
- Galveston, TX
National Provider Identifier
1730265653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- DENTAL GROUP, PC
- Doing business as
- Affordable Dental
- Practice address
- 5934 Broadway
Galveston, TX 77551-4305 - Phone
- (409) 740-7744
- Fax
- (409) 744-4541
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marilu Robbins
- Title
- Manager
- Phone
- (713) 439-1234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | TX | Primary |
Addresses
Primary practice location
5934 Broadway
Galveston, TX 77551-4305
Mailing address
1841 Post Oak Park Dr
Houston, TX 77027-3303
Phone (713) 439-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1980153-01 | Medicaid | TX |
Other names 1
- Affordable Dental
National Provider Directory
National Provider Directory- Tax ID family
- Affordable Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Galveston, TX
- NPI 1568616779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1234224000000",
"number": "1730265653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 POST OAK PARK DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770273303",
"telephone_number": "713-439-1234",
"fax_number": "409-744-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5934 BROADWAY",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775514305",
"telephone_number": "409-740-7744",
"fax_number": "409-744-4541"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL GROUP, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2009-02-10",
"status": "A",
"authorized_official_last_name": "ROBBINS",
"authorized_official_first_name": "MARILU",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "713-439-1234"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1980153-01",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Affordable Dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.