Cherry Blossom Molina PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27850 Issued in TX

Legal business name

CHERRY BLOSSOM MOLINA PLLC

Practice address

811 NE Alsbury Blvd
Suite 600
Burleson, TX 76028-2668

Phone

(817) 756-8647

NPI assigned

Jul 29, 2015

Organization subpart

No

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

Authorized official

Name

Antonio Molina, DDS

Title

President

Phone

(305) 632-2530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1871978072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD",
            "address_2": "SUITE 600",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282668",
            "telephone_number": "817-756-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD",
            "address_2": "SUITE 600",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282668",
            "telephone_number": "817-756-8647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY BLOSSOM MOLINA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-29",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-632-2530",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles a Discher III, PLLC
• Charles R Payerle DDS, MD PLLC
• Charles R Payerle, DDS, MD, PLLC
• Chandra Pavai Chellappan, MD
• Cherry Blossom Family Dentistry
• Mary Susan Chester, MA LPC
• Robert Chiang, M.D.
• Claire Elizabeth Chiasson
• Hanane Chichane, MD
• Child Care Pediatrics, P.a.

• General Practice Dentistry in Burleson, TX
• Providers in Burleson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.