Basin Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

23989 Issued in TX

Legal business name

BASIN PEDIATRIC DENTISTRY

Practice address

711 Hospital Dr
Andrews, TX 79714-3616

Phone

(432) 523-3194

NPI assigned

Apr 2, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Ellis, DDS

Title

Pediatric Dentist

Phone

(210) 275-2214

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eugene Windle Harper, D.D.S.

  • General Practice Dentistry
  • Andrews, TX
  • NPI 1982608311
  NPD (past)

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1982970109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143616",
            "telephone_number": "432-523-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143616",
            "telephone_number": "432-523-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASIN PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "210-275-2214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "23989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrews County Hospital District (Andrews Kidney Care)
• Andrews Isd
• Andrews Prescription Shop LLC (Prescription Shop)
• Andrews Prescription Shop LLC (Prescription Shop)
• Andrews Senior Activity Center Inc
• Basin RX, LLC (Neighborhood Pharmacy)
• Beth Steinberger PA (Beth Steinberger DO)
• Kirsten Lian Blakeney, LPC-ASSOCIATE
• Teresa Renee Blakeney
• John Breyman, DC

• Pediatric Dentistry in Andrews, TX
• Providers in Andrews, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.