Alligator Dental Cibolo, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

24186 Issued in TX

Legal business name

ALLIGATOR DENTAL CIBOLO, PLLC

Practice address

112 Gulf Street
Cibolo, TX 78108

Phone

(830) 491-4105

NPI assigned

Jan 12, 2017

Organization subpart

No

Name

Dr. Alfred M Burns, DDSNPI 1508056755

Title

Doctor/Owner

Phone

(830) 491-4105

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Alligator Dental Cibolo, PLLC

  • Pediatric Dentistry
  • Floresville, TX
  • NPI 1316483704
  NPPES parent name

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

• Alfred Burns, DDS

  • Pediatric Dentistry
  • Seguin, TX
  • NPI 1508056755
  NPD Authorized official

Tax ID family

Alligator Dental Cibolo PLLC2 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.

• Alligator Dental Cibolo, PLLC

  • Pediatric Dentistry
  • Floresville, TX
  • NPI 1316483704
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 12, 2017.

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1780120964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E PINE STREET",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-491-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 GULF STREET",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "78108",
            "telephone_number": "830-491-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIGATOR DENTAL CIBOLO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "830-491-4105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sabra Elizabeth Atkinson, PHARMD

• All providers in Cibolo, TX
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.