Waxahachie Family Dentistry, LLP

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

19151 Issued in TX

Legal business name

WAXAHACHIE FAMILY DENTISTRY, LLP

Practice address

125 Park Place Blvd
Waxahachie, TX 75165-9106

Phone

(972) 937-4370

Fax

(972) 937-4369

NPI assigned

Mar 4, 2016

Last updated

Nov 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Scott Clinton, D.D.S.NPI 1477767903

Title

Dentist/Owner

Phone

(972) 937-4370

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 3

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.

• Scott Gene Clinton, DDS

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1477767903
  NPD Authorized official
• Nicholas Joel Acosta, D.D.S.

  • Dentist
  • Waxahachie, TX
  • NPI 1265870745
  NPD (past)
• Robert Randolph Haney III, DDS

  • General Practice Dentistry
  • Waxahachie, TX
  • NPI 1467562231
  NPD (past)

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

{
    "created_epoch": "1457049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1801256797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARK PLACE BLVD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751659106",
            "telephone_number": "972-937-4370",
            "fax_number": "972-937-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARK PLACE BLVD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751659106",
            "telephone_number": "972-937-4370",
            "fax_number": "972-937-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAXAHACHIE FAMILY DENTISTRY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-04",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "972-937-4370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "19151",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1477767903",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Nicole Watson, LPC
• Waxahachie Anesthesia Associates
• Waxahachie Anesthesia Associates
• Waxahachie Anesthesia Consultant Services PA
• Waxahachie Chiropractic
• Waxahachie Independent School District
• Waxahachie Medical PLLC
• Waxahachie Modern Dentistry, PC (Waxahachie Modern Dentistry)
• Waxahachie Pharmacy LLC
• Waxahachie Physical Therapy PLLC

• Customized Equipment (DME) in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.