Active NPI
Amm PLLC
Doing business as Nixon Family Dentistry
- General Practice Dentistry
- Nixon, TX
National Provider Identifier
1861860967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- AMM PLLC
- Doing business as
- Nixon Family Dentistry
- Practice address
- 200 E 2ND St
Nixon, TX 78140-2737 - Phone
- (830) 582-2571
- Fax
- (830) 582-3141
- NPI assigned
- Sep 4, 2015
- Last updated
- Sep 4, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Angela Mathew, DDS
- Title
- Owner
- Phone
- (512) 466-4468
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
200 E 2ND St
Nixon, TX 78140-2737
Mailing address
200 E 2ND St
Nixon, TX 78140-2737
Phone (830) 582-2571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177610 | Medicaid | TX |
Other names 1
- NIXON FAMILY DENTISTRY
National Provider Directory
National Provider Directory- Tax ID family
- 183 Family Dentistry
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441324800000",
"number": "1861860967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E 2ND ST",
"city": "NIXON",
"state": "TX",
"postal_code": "781402737",
"telephone_number": "830-582-2571",
"fax_number": "830-582-3141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E 2ND ST",
"city": "NIXON",
"state": "TX",
"postal_code": "781402737",
"telephone_number": "830-582-2571",
"fax_number": "830-582-3141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMM PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A",
"authorized_official_last_name": "MATHEW",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "512-466-4468",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2177610",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NIXON FAMILY DENTISTRY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nixon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.