Organization Active NPI

Oak Ridge North Robinson Road Dental PC

  • Dental Clinic/Center
  • Oak Ridge North, TX
National Provider Identifier
1912480740
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20388 Issued in TX
Legal business name
OAK RIDGE NORTH ROBINSON ROAD DENTAL PC
Practice address
27326 Robinson Rd Ste 108
Oak Ridge North, TX 77385-8960
Phone
(281) 586-4600
Fax
(281) 586-7051
NPI assigned
Sep 7, 2018
Organization subpart
Yes
Parent organization
HOUSTON RED OAK DRIVE DENTAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Maggi Evans
Title
Sr Credentialing Specialist
Phone
(720) 603-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20388 TX Primary

Addresses

Primary practice location

27326 Robinson Rd Ste 108
Oak Ridge North, TX 77385-8960

Mailing address

27326 Robinson Rd Ste 108
Oak Ridge North, TX 77385-8960
Phone (281) 586-4600

Other names 2

  • Northwest Kids Dental Doing business as
  • Northwest Pediatric Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northwest Kids Dental2 organizations share this tax ID, including this one
Part of
Houston Red Oak Drive Dental PC

Other organizations with this tax ID 1

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

Locations

27326 Robinson Rd
Ste 108
Oak Ridge North, TX 77385
Phone (281) 583-4600

NPI Registry JSON

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1912480740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27326 ROBINSON RD STE 108",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773858960",
            "telephone_number": "281-586-4600",
            "fax_number": "281-586-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27326 ROBINSON RD STE 108",
            "city": "OAK RIDGE NORTH",
            "state": "TX",
            "postal_code": "773858960",
            "telephone_number": "281-586-4600",
            "fax_number": "281-586-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE NORTH ROBINSON ROAD DENTAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSTON RED OAK DRIVE DENTAL, PC",
        "enumeration_date": "2018-09-07",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "MAGGI",
        "authorized_official_title_or_position": "SR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "720-603-4800"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Pediatric",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Northwest Pediatric",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Ridge North, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.