R. Danford Doss, DDS, Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12108 Issued in TX

Legal business name

R. DANFORD DOSS, DDS, INC

Practice address

4200 Bryant Irvin Rd Ste 129
Benbrook, TX 76109-4212

Phone

(817) 731-6964

Fax

(817) 731-4273

NPI assigned

May 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Danford Doss, DDS

Title

President

Phone

(817) 731-6964

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1861669103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 129",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212",
            "telephone_number": "817-731-6964",
            "fax_number": "817-731-4273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 BRYANT IRVIN RD STE 129",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "761094212",
            "telephone_number": "817-731-6964",
            "fax_number": "817-731-4273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. DANFORD DOSS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "DOSS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "DANFORD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-731-6964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "12108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1842700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.