Organization Active NPI

Denton Edc Management LLC

  • Dental Clinic/Center
  • Denton, TX
National Provider Identifier
1912419862
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DENTON EDC MANAGEMENT LLC
Practice address
1710 N Elm St
Denton, TX 76201-3093
Phone
(940) 514-1999
NPI assigned
Nov 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Michael Obeng
Title
Manager
Phone
(402) 393-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1710 N Elm St
Denton, TX 76201-3093

Mailing address

4245 S 143Rd Cir Ste 7
Omaha, NE 68137-4519
Phone (402) 393-2726

Other names 1

  • Emergency Dental Care USA Doing business as

National Provider Directory

National Provider Directory

Locations

1710 N Elm St
Denton, TX 76201
Phone (940) 514-1999

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1912419862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 S 143RD CIR STE 7",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681374519",
            "telephone_number": "402-393-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N ELM ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762013093",
            "telephone_number": "940-514-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTON EDC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "OBENG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "402-393-2726"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emergency Dental Care USA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.