NPIMap

Organization Active NPI

Familia Dental Odessa PLLC

Doing business as Familia Dental

  • General Practice Dentistry
  • Odessa, TX
National Provider Identifier
1861712093
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILIA DENTAL ODESSA PLLC
Doing business as
Familia Dental
Practice address
1401 E 8TH St
Odessa, TX 79761-4802
Phone
(432) 332-8550
Fax
(432) 332-8560
NPI assigned
Jun 10, 2010
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Mrs. Anette Gallardo Reyes, S CREDENTIALING SPEC
Title
Credentialing Team Lead
Phone
(847) 737-3561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

1401 E 8TH St
Odessa, TX 79761-4802

Mailing address

1933 N Meacham Rd Ste 400
Schaumburg, IL 60173-4304
Phone (847) 510-4910

Other names 1

  • Familia Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1933 N Meacham Rd
Ste 400
Schaumburg, IL 60173

1401 E 8th St
Odessa, TX 79761
Phone (432) 332-8550

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1861712093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 N MEACHAM RD STE 400",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734304",
            "telephone_number": "847-510-4910",
            "fax_number": "847-510-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614802",
            "telephone_number": "432-332-8550",
            "fax_number": "432-332-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIA DENTAL ODESSA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "GALLARDO REYES",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_title_or_position": "CREDENTIALING TEAM LEAD",
        "authorized_official_telephone_number": "847-737-3561",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "S CREDENTIALING SPEC"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Familia Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Familia Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.