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Amistad Dentistry

Organization Active NPI Dentist · Del Rio, TX

NPI 1851667372 · NPPES record last updated Feb 26, 2018

Key facts

NPI
1851667372
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
Legal business name
AMISTAD DENTISTRY
Practice address
2223 Veterans Blvd
Del Rio, TX 78840
Phone
(830) 775-2431
Fax
(830) 775-7418
NPI assigned
Mar 29, 2012
Organization subpart
No

Authorized official

Name
Dr. Thomas Max Taylor, D.M.D. NPI 1811043979
Title
Owner
Phone
(830) 775-2431

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 4

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

National Provider Directory

Locations

2223 Veterans Blvd
Del Rio, TX 78840
Phone (830) 765-1004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP		 122300000X Yes

Addresses

Primary practice location

2223 Veterans Blvd
Del Rio, TX 78840

Mailing address

2223 Veterans Blvd
Del Rio, TX 78840
Phone (830) 775-2431

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 26, 2018.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519603200000",
    "number": "1851667372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2223 VETERANS BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2223 VETERANS BLVD",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "78840",
            "telephone_number": "830-775-2431",
            "fax_number": "830-775-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMISTAD DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-29",
        "last_updated": "2018-02-26",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-775-2431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

All providers in Del Rio, TX · Dentist in Texas

Sources for this page

Verify at the official NPI Registry.