Active NPI
Dekow Dental, PLLC
- Dental Clinic/Center
- Kyle, TX
National Provider Identifier
1831767383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DEKOW DENTAL, PLLC
- Practice address
- 4460 FM 1626 Ste 200
Kyle, TX 78640 - Phone
- (512) 537-4892
- NPI assigned
- Jun 11, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Matthew Dekow, DMD
- Title
- Dentist
- Phone
- (512) 537-4892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4460 FM 1626 Ste 200
Kyle, TX 78640
Mailing address
4460 FM 1626
Suite 200
Kyle, TX 78640
Phone (512) 537-4892
Other names 1
- Bravo Family Dentistry
National Provider Directory
National Provider DirectoryLocations
4650 S FM 1626
Ste 200
Kyle, TX 78640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1831767383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4460 FM 1626",
"address_2": "SUITE 200",
"city": "KYLE",
"state": "TX",
"postal_code": "78640",
"telephone_number": "512-537-4892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4460 FM 1626 STE 200",
"city": "KYLE",
"state": "TX",
"postal_code": "78640",
"telephone_number": "512-537-4892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEKOW DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-11",
"last_updated": "2021-09-29",
"certification_date": "2021-09-13",
"status": "A",
"authorized_official_last_name": "DEKOW",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "512-537-4892",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bravo Family Dentistry",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bravo Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.