Timberland Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20062 Issued in TX

Legal business name

TIMBERLAND FAMILY DENTAL PLLC

Practice address

12477 Timberland Blvd
Suite 113
Keller, TX 76248-1217

Phone

(817) 431-2979

Fax

(817) 431-2919

NPI assigned

Dec 9, 2008

Last updated

Dec 9, 2008By 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

Mrs. April Kaneira, D.D.S.

Title

Dentist

Phone

(214) 513-1300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1922243609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12477 TIMBERLAND BLVD",
            "address_2": "SUITE 113",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481217",
            "telephone_number": "817-431-2979",
            "fax_number": "817-431-2919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12477 TIMBERLAND BLVD",
            "address_2": "SUITE 113",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762481217",
            "telephone_number": "817-431-2979",
            "fax_number": "817-431-2919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAND FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "KANEIRA",
        "authorized_official_first_name": "APRIL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "214-513-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Keller, TX
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• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.