NPIMap

Organization Active NPI

Texas a&M University System Health Science Center

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dallas, TX
National Provider Identifier
1912918798
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
Legal business name
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER
Practice address
3000 Gaston Ave
Dallas, TX 75226
Phone
(214) 828-8100
Fax
(214) 874-4552
NPI assigned
Aug 10, 2006
Organization subpart
Yes
Parent organization
TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Authorized official

Name
Kenneth E. ThomasNPI 1720768625
Title
Director
Phone
(214) 828-8234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 21845 TX
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TX
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X
Oral & Maxillofacial Surgery (D.M.D.)Group: 193200000X MULTI-SPECIALTY GROUP 204E00000X Primary

Addresses

Primary practice location

3000 Gaston Ave
Dallas, TX 75226

Mailing address

3000 Gaston Ave
Dallas, TX 75226
Phone (214) 828-8100

Other practice location 1

3302 Gaston Ave
Dallas, TX 75246-2013
Phone (214) 828-8479

Other practice location 2

4570 Scyene Road
Dallas, TX 75210-7521
Phone (214) 828-8215

Other names 1

  • Texas A&M School of Dentistry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210409000119 TX Part B Supplier - Clinic/Group Practice 3173931292 Receives reassigned benefits from 12 practitioners
Practice locations: Dallas, TX

National Provider Directory

National Provider Directory
Tax ID family
Texas Am University System Health Science Center2 organizations share this tax ID, including this one
Part of
Texas Am University System Health Science Center

Other organizations with this tax ID 1

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

Locations

3000 Gaston Ave
Dallas, TX 75226
Phone (214) 828-8100

4570 Scyene Rd
Dallas, TX 75210
Phone (214) 370-7260

3000 Gaston Ave
Fl 6
Dallas, TX 75226
Phone (214) 828-8228

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1912918798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75226",
            "telephone_number": "214-828-8100",
            "fax_number": "214-874-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75226",
            "telephone_number": "214-828-8100",
            "fax_number": "214-874-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3302 Gaston Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752462013",
            "country_code": "US",
            "telephone_number": "214-828-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4570 Scyene Road",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752107521",
            "country_code": "US",
            "telephone_number": "214-828-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEXAS A&M UNIVERSITY SYSTEM HEALTH SCIENCE CENTER",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-828-8234"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21845",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas A&M School of Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.