Organization Active NPI

Denison Dental PLLC

  • General Practice Dentistry
  • Denison, TX
National Provider Identifier
1801255088
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28186 Issued in TX
Legal business name
DENISON DENTAL PLLC
Practice address
3515 West FM 120
Denison, TX 75020
Phone
(801) 515-0445
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Ravindranath Reddy
Title
Director/Owner
Phone
(801) 515-0445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28186 TX Primary

Addresses

Primary practice location

3515 West FM 120
Denison, TX 75020

Mailing address

3515 West FM 120
Denison, TX 75020

National Provider Directory

National Provider Directory

Locations

3515 W FM 120
Denison, TX 75020
Phone (801) 515-0445

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1801255088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 WEST FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 WEST FM 120",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "75020",
            "telephone_number": "801-515-0445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISON DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "RAVINDRANATH",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "801-515-0445"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.