NPIMap

Organization Active NPI

Mission Bend Family Dentistry

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1740652437
Registry record updated Oct 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MISSION BEND FAMILY DENTISTRY
Practice address
7039 FM 1464 Rd
Suite 130
Richmond, TX 77407-2000
Phone
(832) 500-4940
Fax
(832) 532-7392
NPI assigned
Oct 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2015

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

Authorized official

Name
Billy Puckett, DDS
Title
Owner
Phone
(832) 500-4940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7039 FM 1464 Rd
Suite 130
Richmond, TX 77407-2000

Mailing address

7039 FM 1464 Rd
Suite 130
Richmond, TX 77407-2000
Phone (832) 500-4940

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445385600000",
    "number": "1740652437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7039 FM 1464 RD",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072000",
            "telephone_number": "832-500-4940",
            "fax_number": "832-532-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7039 FM 1464 RD",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774072000",
            "telephone_number": "832-500-4940",
            "fax_number": "832-532-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION BEND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-500-4940",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.