NPIMap

Organization Active NPI

Endodontic and Periodontic Specialists

  • Periodontics
  • Richardson, TX
National Provider Identifier
1881961076
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
26168 Issued in TX
Legal business name
ENDODONTIC AND PERIODONTIC SPECIALISTS
Practice address
700 E Campbell Rd
Suite 230
Richardson, TX 75081-2041
Phone
(972) 479-1200
Fax
(972) 479-1203
NPI assigned
Nov 16, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Dr. Javier Ortiz, D.M.D.NPI 1689863128
Title
Endodontist/Partner
Phone
(787) 367-2580

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
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 25874 TX
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 26168 TX Primary

Addresses

Primary practice location

700 E Campbell Rd
Suite 230
Richardson, TX 75081-2041

Mailing address

700 E Campbell Rd
Suite 230
Richardson, TX 75081-2041
Phone (972) 479-1200

National Provider Directory

National Provider Directory

Locations

700 E Campbell Rd
Ste 230
Richardson, TX 75081
Phone (972) 479-1200

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1881961076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD",
            "address_2": "SUITE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812041",
            "telephone_number": "972-479-1200",
            "fax_number": "972-479-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD",
            "address_2": "SUITE 230",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812041",
            "telephone_number": "972-479-1200",
            "fax_number": "972-479-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC AND PERIODONTIC SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-16",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "ENDODONTIST/PARTNER",
        "authorized_official_telephone_number": "787-367-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "25874",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "26168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.