Passionate Dental Wellness PA Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

PASSIONATE DENTAL WELLNESS PA CORPORATION

Practice address

103 W Gibson St Ste 112
Jasper, TX 75951-5062

Phone

(409) 224-8357

Fax

(409) 224-8360

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Patrick M Ralph, DMDNPI 1285642017

Title

Owner

Phone

(409) 224-8357

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Passionate Dental Wellness Former legal business name

Practitioners 1

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

• Patrick M Ralph, DMD

  • Pediatric Dentistry
  • Houston, TX
  • NPI 1285642017
  NPD Authorized official

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1932871100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST STE 112",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515062",
            "telephone_number": "409-224-8357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W GIBSON ST STE 112",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759515062",
            "telephone_number": "409-224-8357",
            "fax_number": "409-224-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE DENTAL WELLNESS PA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "RALPH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-224-8357",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285642017",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passionate Dental Wellness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Numed Imaging Centers, Inc
• Nurturing Haven Adult Day Center Inc.
• Bolade Ogunrinde, DMD
• Felix Derick Panford, PHARMD
• Mary L Parish, D.O.
• Jill Christine Pate, FNP
• Patricia Galos, OD PC
• John Michael Pauzauskie, CRNA
• Rebecca L Peace, P.T.
• Peter a Bidwell Family Practice

• Dental Clinic/Center in Jasper, TX
• Providers in Jasper, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.