Haslet Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

HASLET FAMILY DENTAL PLLC

Practice address

2412 Avondale Haslet Rd Ste 100
Haslet, TX 76052-3443

Phone

(682) 990-2800

NPI assigned

Mar 10, 2016

Organization subpart

No

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

Authorized official

Name

Kacey MahoneyNPI 1912344748

Title

Dentist

Phone

(817) 318-6329

Specialties & licenses 2

Addresses

Other names 1

• Today Dental of Haslet Doing business as

Locations

Practitioners 3

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

• Kacey Mahoney, DMD

  • Dentist
  • Fort Worth, TX
  • NPI 1912344748
  NPD Authorized official
• Cicely Quade Webb, DDS

  • Dentist
  • Wylie, TX
  • NPI 1508438847
  NPD
• Chad William Anderson, DMD

  • General Practice Dentistry
  • Haslet, TX
  • NPI 1881174449
  NPD (past)

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1831550334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E VINE ST UNIT 484",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762443821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 AVONDALE HASLET RD STE 100",
            "city": "HASLET",
            "state": "TX",
            "postal_code": "760523443",
            "telephone_number": "682-990-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASLET FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-10",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "KACEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-318-6329"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Today Dental of Haslet",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashleigh Michele Gillis, OTR/L
• Gregory D Goodwin
• Ashlie Hallenbeck, LVN
• Ellener Harper, OD
• Haslet Counseling, PLLC
• Haslet Family Eyecare, PLLC
• Haslet Urgent Care, PLLC
• Home Based Care Services
• Brittane Houston, NP
• Alicia Marie Ingersoll, M.S.CCC-SLP

• General Practice Dentistry in Haslet, TX
• Providers in Haslet, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.