Oc Childrens Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OC CHILDRENS DENTISTRY

Practice address

907 Pollard St Ste 110
Dallas, TX 75208-1728

Phone

(972) 263-1755

Fax

(972) 264-6226

NPI assigned

Nov 12, 2020

Last updated

Aug 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Fernan RodriguezNPI 1639298235

Title

Owner

Phone

(972) 263-1755

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fernan Rodriguez, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Prairie, TX
  • NPI 1639298235
  Authorized official Same address or phone

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1902408081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W WESTCHESTER PKWY STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 POLLARD ST STE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752081728",
            "telephone_number": "972-263-1755",
            "fax_number": "972-264-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC CHILDRENS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "FERNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-263-1755"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Obstetrics & Gynecology Associates of Dallas, P a
• Obstetrics & Gynecology PA (Dallas OBGYN PA)
• Blessing Obukwelu, MD
• Merceline Obuong
• Christabel Obuseh, PA-C
• Emily Ocampo-Robles
• Gabriela Ocampo, MD
• Sebastian Ocampo, DMD
• Kerllanne Occeus, NURSE PRACTITIONER
• Dennis R. Occkiogrosso, CRNA

• Pediatric Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.