Organization Active NPI

Amm PLLC

Doing business as Nixon Family Dentistry

  • General Practice Dentistry
  • Nixon, TX
National Provider Identifier
1861860967
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2177610MedicaidTX

Other names 1

  • NIXON FAMILY DENTISTRY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
183 Family Dentistry2 organizations share this tax ID, including this one

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.

Verify at the official NPI Registry.