Organization Active NPI

Dental Care Associates, P.C.

  • Periodontics
  • Bryan, TX
National Provider Identifier
1942338546
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
16730 Issued in TX
Legal business name
DENTAL CARE ASSOCIATES, P.C.
Practice address
1313 Briarcrest Dr Ste D
Bryan, TX 77802-5232
Phone
(979) 776-4364
Fax
(979) 776-4360
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Autumn Belle Densman, DENTAL ASSISTANT
Title
Dental Assistant Adminstrative Off
Phone
(979) 776-4364

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 16734 TX
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9539 TX
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 16730 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 4696 TX

Addresses

Primary practice location

1313 Briarcrest Dr Ste D
Bryan, TX 77802-5232

Mailing address

1313 Briarcrest Dr Ste D
Bryan, TX 77802-5232
Phone (979) 776-4364

Other identifiers 1

IdentifierTypeStateIssuer
G60428-01OtherTXCHIPS

Other names 1

  • hargrove dental center Former legal business name

National Provider Directory

National Provider Directory

Locations

1313 Briarcrest Dr
Ste D
Bryan, TX 77802
Phone (979) 776-4364

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942338546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR STE D",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025232",
            "telephone_number": "979-776-4364",
            "fax_number": "979-776-4360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 BRIARCREST DR STE D",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778025232",
            "telephone_number": "979-776-4364",
            "fax_number": "979-776-4360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL CARE ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DENSMAN",
        "authorized_official_first_name": "AUTUMN",
        "authorized_official_middle_name": "BELLE",
        "authorized_official_title_or_position": "DENTAL ASSISTANT ADMINSTRATIVE OFF",
        "authorized_official_telephone_number": "979-776-4364",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DENTAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16734",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9539",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16730",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "4696",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIPS",
            "identifier": "G60428-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "hargrove dental center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.