NPIMap

Organization Active NPI

Texas Dental Health Professionals, P.C.

  • General Practice Dentistry
  • Weatherford, TX
National Provider Identifier
1902226889
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TEXAS DENTAL HEALTH PROFESSIONALS, P.C.
Practice address
1806 S Main St
Weatherford, TX 76086-5506
Phone
(817) 594-2126
NPI assigned
Apr 18, 2014
Organization subpart
Yes
Parent organization
TEXAS DENTAL HEALTH PROFESSIONALS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Kendra Walker
Title
Credentialing Coordinator
Phone
(217) 540-8312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1806 S Main St
Weatherford, TX 76086-5506

Mailing address

1806 S Main St
Weatherford, TX 76086-5506

Other names 1

  • MyDentist-Weatherford TX Doing business as

National Provider Directory

National Provider Directory
Tax ID family
My Dentist12 organizations share this tax ID, including this one
Part of
My Dentist

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1806 S Main St
Weatherford, TX 76086
Phone (817) 594-2126

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1902226889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 S MAIN ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1806 S MAIN ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865506",
            "telephone_number": "817-594-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL HEALTH PROFESSIONALS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS DENTAL HEALTH PROFESSIONALS, P.C.",
        "enumeration_date": "2014-04-18",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-8312"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDentist-Weatherford TX",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weatherford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.