Organization Active NPI

Brazos Family Dentistry, L.L.P.

  • General Practice Dentistry
  • Waco, TX
National Provider Identifier
1902872682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRAZOS FAMILY DENTISTRY, L.L.P.
Practice address
3620 Scroggins Dr
Waco, TX 76705-2579
Phone
(254) 799-5746
Fax
(254) 799-4115
NPI assigned
Feb 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melinda Baugh
Title
Office Manager
Phone
(254) 799-5746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

3620 Scroggins Dr
Waco, TX 76705-2579

Mailing address

3620 Scroggins Dr
Waco, TX 76705-2579
Phone (254) 799-5746

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902872682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3620 SCROGGINS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052579",
            "telephone_number": "254-799-5746",
            "fax_number": "254-799-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3620 SCROGGINS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767052579",
            "telephone_number": "254-799-5746",
            "fax_number": "254-799-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAZOS FAMILY DENTISTRY, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUGH",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "254-799-5746"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.