Organization Active NPI

NCD,PA

  • Dentist
  • Watauga, TX
National Provider Identifier
1972757748
Registry record updated Nov 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12638 Issued in TX
Legal business name
NCD,PA
Practice address
7748 Denton Hwy
Watauga, TX 76148-2463
Phone
(817) 581-2100
NPI assigned
Nov 6, 2008
Last updated
Nov 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2008

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

Authorized official

Name
Kelli Tippett
Title
Office Manager
Phone
(817) 581-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12638 TX Primary

Addresses

Primary practice location

7748 Denton Hwy
Watauga, TX 76148-2463

Mailing address

7748 Denton Hwy
Watauga, TX 76148-2463

National Provider Directory

National Provider Directory

Locations

7748 Denton Hwy
Watauga, TX 76148
Phone (817) 581-2100

NPI Registry JSON

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1972757748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7748 DENTON HWY",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7748 DENTON HWY",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761482463",
            "telephone_number": "817-581-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "TIPPETT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-581-2100"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.