Lubbock Dental Care Professionals, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

LUBBOCK DENTAL CARE PROFESSIONALS, PLLC

Practice address

7805 Slide Rd
Lubbock, TX 79424-2837

Phone

(806) 794-6686

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Peter C Grumbos, DDS

Title

Owner

Phone

(806) 794-6686

Specialties & licenses 1

Addresses

Other names 1

• LUBBOCK DENTAL CARE Doing business as

Locations

Practitioners 1

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

• Rodger Lewis McCuistion, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1225044290
  NPD (past)

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1972022309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7805 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242837",
            "telephone_number": "806-794-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7805 SLIDE RD",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242837",
            "telephone_number": "806-794-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK DENTAL CARE PROFESSIONALS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GRUMBOS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-794-6686",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LUBBOCK DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lubbock County Hospital District
• Lubbock County Hospital District
• Lubbock County Hospital District
• Lubbock County Hospital District
• Lubbock Dental and Orthodontics PLLC
• Lubbock Dental Implant Center PLLC
• Lubbock Dermatology and Skin Cancer Center
• Lubbock Diagnostic Radiology, L.L.P.
• Lubbock Digestive Disease Associates
• Lubbock Digestive Disease Associates

• Dentist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.