NPIMap

Organization Active NPI

Robert D. Esparza, DDS, PC

  • Periodontics
  • Lewisville, TX
National Provider Identifier
1871913293
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
ROBERT D. ESPARZA, DDS, PC
Practice address
930 W Main St
Lewisville, TX 75067-3516
Phone
(469) 464-3850
NPI assigned
Apr 24, 2014
Organization subpart
Yes
Parent organization
ROBERT D. ESPARZA, DDS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

930 W Main St
Lewisville, TX 75067-3516

Mailing address

930 W Main St
Lewisville, TX 75067-3516

Other names 1

  • MyDentist-Lewisville Perio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Dentist12 organizations share this tax ID, including this one
Part of
My Dentist

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

930 W Main St
Lewisville, TX 75067
Phone (469) 444-1595

NPI Registry JSON

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

{
    "created_epoch": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398297600000",
    "number": "1871913293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W MAIN ST",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750673516",
            "telephone_number": "469-464-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D. ESPARZA, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROBERT D. ESPARZA, DDS, PC",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-04-24",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentist-Lewisville Perio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2014; 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.