NPIMap

Organization Active NPI

McIntyre Family Dentistry, PLLC

  • Dentist
  • Kyle, TX
National Provider Identifier
1891110201
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27284 Issued in TX
Legal business name
MCINTYRE FAMILY DENTISTRY, PLLC
Practice address
115 Kohlers Xing Ste 100
Kyle, TX 78640-2461
Phone
(512) 268-4011
Fax
(512) 268-0409
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Dr. David J McIntyre, DDSNPI 1215216197
Title
Dentist/Owner
Phone
(512) 268-4011

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 27284 TX Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

115 Kohlers Xing Ste 100
Kyle, TX 78640-2461

Mailing address

115 Kohlers Xing Ste 100
Kyle, TX 78640-2461
Phone (512) 268-4011

Other names 1

  • Clear Springs Family Dentistry Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@clearspringsdentistry.com Direct

National Provider Directory

National Provider Directory

Locations

115 Kohlers Xing
Ste 100
Kyle, TX 78640
Phone (512) 268-4011

Practitioners & affiliated clinicians

Practitioners 2

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": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1891110201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-268-4011",
            "fax_number": "512-268-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 100",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-268-4011",
            "fax_number": "512-268-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCINTYRE FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "512-268-4011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "27284",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@clearspringsdentistry.com",
            "affiliation": "N",
            "endpointDescription": "practice email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "115 Kohlers Xing Ste 100",
            "city": "Kyle",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786402461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clear Springs Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Springs Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.