Organization Active NPI

Dental Health Associates of Texas, PC

Doing business as Dry Creek Dental Care

  • General Practice Dentistry
  • Magnolia, TX
National Provider Identifier
1821796475
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Doing business as
Dry Creek Dental Care
Practice address
13650 FM 1488 Rd Ste 100
Magnolia, TX 77354-1367
Phone
(346) 296-2246
Fax
(346) 296-2258
NPI assigned
Feb 22, 2023
Last updated
Feb 22, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL HEALTH ASSOCIATES OF TEXAS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

13650 FM 1488 Rd Ste 100
Magnolia, TX 77354-1367

Mailing address

13650 FM 1488 Rd Ste 100
Magnolia, TX 77354-1367
Phone (346) 296-2246

Other names 1

  • Dry Creek Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of Texas PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of Texas PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

13650 FM 1488 Rd
Ste 100
Magnolia, TX 77354
Phone (346) 296-2246

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1821796475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13650 FM 1488 RD STE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541367",
            "telephone_number": "346-296-2246",
            "fax_number": "346-296-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13650 FM 1488 RD STE 100",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541367",
            "telephone_number": "346-296-2246",
            "fax_number": "346-296-2258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dry Creek Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Magnolia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.