NPIMap

Organization Active NPI

MC Dental

  • General Practice Dentistry
  • Red Oak, TX
National Provider Identifier
1861752388
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8495 Issued in TX
Legal business name
MC DENTAL
Practice address
106 Plaza Dr
Red Oak, TX 75154-3981
Phone
(972) 515-8700
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Authorized official

Name
Dr. Charles Williams, DDS
Title
President
Phone
(972) 515-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8495 TX Primary

Addresses

Primary practice location

106 Plaza Dr
Red Oak, TX 75154-3981

Mailing address

106 Plaza Dr
Red Oak, TX 75154-3981
Phone (972) 515-8700

Other identifiers 2

IdentifierTypeStateIssuer
$$$$$$$$$OtherTXSOCIAL
8495OtherTXTX LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590624000000",
    "number": "1861752388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543981",
            "telephone_number": "972-515-8700",
            "fax_number": "972-591-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543981",
            "telephone_number": "972-515-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2020-05-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-515-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "8495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL",
            "identifier": "$$$$$$$$$",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "8495",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.