Organization Active NPI

Dylan Patrick DDS, PLLC

Doing business as Storybook Smiles

  • Pediatric Dentistry
  • Tyler, TX
National Provider Identifier
1871090860
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
DYLAN PATRICK DDS, PLLC
Doing business as
Storybook Smiles
Practice address
419 W SW Loop 323 Ste 300
Tyler, TX 75701-7062
Phone
(903) 251-9292
Fax
(903) 207-8642
NPI assigned
Apr 7, 2018
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Dylan Patrick, DDSNPI 1952782724
Title
Managing Member
Phone
(903) 363-3648

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

419 W SW Loop 323 Ste 300
Tyler, TX 75701-7062

Mailing address

2660 Barton Creek Cir
Tyler, TX 75703-7054
Phone (903) 363-3648

Other names 1

  • Storybook Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

419 W Southwest Loop 323
Ste 300
Tyler, TX 75701
Phone (903) 251-9292

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1523059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1871090860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 BARTON CREEK CIR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757037054",
            "telephone_number": "903-363-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W SW LOOP 323 STE 300",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017062",
            "telephone_number": "903-251-9292",
            "fax_number": "903-207-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYLAN PATRICK DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-07",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DYLAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-363-3648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Storybook Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.