Mustang Family Dental

Primary specialty

DentistTaxonomy code 122300000X

License

24062 Issued in TX

Legal business name

MUSTANG FAMILY DENTAL

Practice address

502 W 1St Street
Hugh Springs, TX 75656

Phone

(903) 639-4459

NPI assigned

Feb 13, 2014

Last updated

Feb 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Chad Stephen Silvertooth, D.D.S

Title

Owner/Dentist

Phone

(903) 639-4459

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1881018646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W. 1ST STREET",
            "city": "HUGH SPRINGS",
            "state": "TX",
            "postal_code": "75656",
            "telephone_number": "903-639-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 1ST STREET",
            "city": "HUGH SPRINGS",
            "state": "TX",
            "postal_code": "75656",
            "telephone_number": "903-639-4459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSTANG FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "SILVERTOOTH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "903-639-4459",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.