NPIMap

Organization Active NPI

Craniofacial Pain Associates, PA

  • Dental Clinic/Center
  • Bedford, TX
National Provider Identifier
1881986008
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
14974 Issued in TX
Legal business name
CRANIOFACIAL PAIN ASSOCIATES, PA
Practice address
2121 Martin Dr
Bedford, TX 76021-5993
Phone
(817) 283-0025
NPI assigned
May 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. James Richard Polson, R.PH., D.D.S.NPI 1558317750
Title
Director
Phone
(817) 283-0025

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 14974 TX Primary

Addresses

Primary practice location

2121 Martin Dr
Bedford, TX 76021-5993

Mailing address

2121 Martin Dr
Bedford, TX 76021-5993
Phone (817) 283-0025

National Provider Directory

National Provider Directory

Locations

2121 Martin Dr
Bedford, TX 76021
Phone (817) 283-0025

Practitioners & affiliated clinicians

Practitioners 1

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": "1304553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1881986008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 MARTIN DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215993",
            "telephone_number": "817-283-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 MARTIN DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215993",
            "telephone_number": "817-283-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRANIOFACIAL PAIN ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-05",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "POLSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-283-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH., D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "14974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

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