Organization Active NPI

Mexia Dental PLLC

  • General Practice Dentistry
  • Mexia, TX
National Provider Identifier
1780061432
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26483 Issued in TX
Legal business name
MEXIA DENTAL PLLC
Practice address
1001 E Milam St
Mexia, TX 76667-2528
Phone
(617) 771-2784
NPI assigned
May 1, 2015
Last updated
May 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Dr. Dhaval Thakkar
Title
Owner/ Dentist
Phone
(617) 771-2784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 26483 TX Primary

Addresses

Primary practice location

1001 E Milam St
Mexia, TX 76667-2528

Mailing address

12903 Tamarack Bend LN
Humble, TX 77346-1569

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1780061432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12903 TAMARACK BEND LN",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773461569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E MILAM ST",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672528",
            "telephone_number": "617-771-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEXIA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "DHAVAL",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "617-771-2784",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.