Texas Pediatric Dentistry, PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

20866 Issued in TX

Legal business name

TEXAS PEDIATRIC DENTISTRY, PA

Practice address

3109 S Custer Rd
Suite 300
McKinney, TX 75070-7170

Phone

(972) 542-6662

Fax

(972) 542-6691

NPI assigned

Mar 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Amber Brooks

Title

Business Manager

Phone

(972) 542-6662

Specialties & licenses 1

Addresses

Practitioners 1

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

• Timothy M Brister, DDS, MS

  • Pediatric Dentistry
  • McKinney, TX
  • NPI 1932208634
  NPD (past)

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330992000000",
    "number": "1730453937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 S CUSTER RD",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707170",
            "telephone_number": "972-542-6662",
            "fax_number": "972-542-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 S CUSTER RD",
            "address_2": "SUITE 300",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707170",
            "telephone_number": "972-542-6662",
            "fax_number": "972-542-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS PEDIATRIC DENTISTRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-542-6662",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "20866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Texas MHT LLC
• Texas Obs-1 Medical Services, P.a.
• Texas One Primary Care
• Texas Pain Intervention Clinic, PLLC
• Texas Partners in Pain Management
• Texas Pediatric Pulmonary Consultants, P.a.
• Texas Psychotherapy Center, PLLC
• Texas Redbud Dental PC
• Texas Spine Physicians
• Texas Synaptixs Ionm, LLC

• Pediatric Dentistry in McKinney, TX
• Providers in McKinney, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; 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.