Organization Active NPI

Dental Group, PC

Doing business as Affordable Dental

  • Dentist
  • Galveston, TX
National Provider Identifier
1730265653
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Feb 10, 2009

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1980153-01MedicaidTX

Other names 1

  • Affordable Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Dental2 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.

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.

Verify at the official NPI Registry.