Odessa Mall FDC PA

Primary specialty

DentistTaxonomy code 122300000X

License

0008481 Issued in TX

Legal business name

ODESSA MALL FDC PA

Practice address

4101 E 42ND
Ste B23
Odessa, TX 79762-7239

Phone

(432) 363-4867

Fax

(432) 363-1799

NPI assigned

May 23, 2008

Organization subpart

No

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

Authorized official

Name

Lynn Armstrong

Title

Regional Manager

Phone

(505) 328-4867

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marlene Helen Schiller, DDS

  • General Practice Dentistry
  • Odessa, TX
  • NPI 1053516161
  NPD (past)

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1801054044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E 42ND",
            "address_2": "STE B23",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627239",
            "telephone_number": "432-363-4867",
            "fax_number": "432-363-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E 42ND",
            "address_2": "STE B23",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797627239",
            "telephone_number": "432-363-4867",
            "fax_number": "432-363-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA MALL FDC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-23",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "505-328-4867"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "0008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odessa Fertility Lab Inc
• Odessa Heart Institute
• Odessa Heart Institute, P.a. (Odessa Heart Institue)
• Odessa I Enterprises, LLC (Buena Vida Nursing & Rehab Odessa)
• Odessa II Enterprises, LLC (Deerings Nursing and Rehabilitation)
• Odessa Medical Enterprises PLLC (Khavar J. Dar, MD)
• Odessa Orthopedic Associates PLLC
• Odessa Physical Therapy PC
• Odessa Physical Therapy PC
• Odessa Physician Associates, PLLC

• Dentist in Odessa, TX
• Providers in Odessa, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.