NPIMap

Organization Active NPI

Texas Kids Dental Care of Fabens, PA

  • Dentist
  • Fabens, TX
National Provider Identifier
1891066692
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24362 Issued in TX
Legal business name
TEXAS KIDS DENTAL CARE OF FABENS, PA
Practice address
1018 N. Fabens
Fabens, TX 79838
Phone
(915) 764-0096
NPI assigned
Jan 25, 2012
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Priscilla Porras
Title
Office Manager
Phone
(915) 858-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24362 TX Primary

Addresses

Primary practice location

1018 N. Fabens
Fabens, TX 79838

Mailing address

PO Box 3324
Fabens, TX 79838-3324
Phone (915) 764-0096

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1891066692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3324",
            "city": "FABENS",
            "state": "TX",
            "postal_code": "798383324",
            "telephone_number": "915-764-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 N. FABENS",
            "city": "FABENS",
            "state": "TX",
            "postal_code": "79838",
            "telephone_number": "915-764-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS KIDS DENTAL CARE OF FABENS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "PORRAS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "915-858-6868"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fabens, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.