Midnite Dental, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

26256 Issued in TX

Legal business name

MIDNITE DENTAL, PLLC

Practice address

801 E Nolana Ave
Suite # 14
McAllen, TX 78504-6104

Phone

(415) 225-6675

NPI assigned

Jul 4, 2014

Organization subpart

No

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

Authorized official

Name

Klaus Johann Radtke, DDS

Title

Owner/Dentist

Phone

(415) 225-6675

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1404432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430006400000",
    "number": "1841606381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3126",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785023126",
            "telephone_number": "415-225-6675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 E NOLANA AVE",
            "address_2": "SUITE # 14",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785046104",
            "telephone_number": "415-225-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDNITE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-04",
        "last_updated": "2015-04-26",
        "status": "A",
        "authorized_official_last_name": "RADTKE",
        "authorized_official_first_name": "KLAUS",
        "authorized_official_middle_name": "JOHANN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "415-225-6675",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "26256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2804890",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shoaib Mian
• Cristelle Marie Miana, OTR
• Bayard Michel
• Mid-Valley EMS
• Mid-Valley Hearing Technologies, LLC
• Colette Ann Miesse, PH.D.
• Roque Masaharu Mifuji Lira, MD
• Mighty Kids Rehabilitation LLC
• Miguel Angel Gutierrez MD & Associates
• Milagro Medical Company L.L.C.

• Dentist in McAllen, TX
• Providers in McAllen, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2015; 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.