Active NPI
Rolling Plains Dentistry of Vernon PC
- General Practice Dentistry
- Vernon, TX
National Provider Identifier
1952700411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27277
- Legal business name
- ROLLING PLAINS DENTISTRY OF VERNON PC
- Practice address
- 2122 Texas St
Vernon, TX 76384-4452 - Phone
- (940) 552-5477
- Fax
- (940) 552-6677
- NPI assigned
- Aug 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew C Kolar, D.D.S.
- Title
- Owner/Dentist
- Phone
- (940) 552-5477
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27277 | TX | Primary |
Addresses
Primary practice location
2122 Texas St
Vernon, TX 76384-4452
Mailing address
2122 Texas St
Vernon, TX 76384-4452
Phone (940) 552-5477
National Provider Directory
National Provider DirectoryLocations
2122 Texas St
Vernon, TX 76384
Phone (940) 552-5477
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Vernon, TX
- NPI 1194857110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408492800000",
"number": "1952700411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 TEXAS ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763844452",
"telephone_number": "940-552-5477",
"fax_number": "940-552-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 TEXAS ST",
"city": "VERNON",
"state": "TX",
"postal_code": "763844452",
"telephone_number": "940-552-5477",
"fax_number": "940-552-6677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROLLING PLAINS DENTISTRY OF VERNON PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A",
"authorized_official_last_name": "KOLAR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "940-552-5477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.