Organization Active NPI

KSM Dental Associates, PLLC

Doing business as Krum Dental Associates

  • Dental Clinic/Center
  • Krum, TX
National Provider Identifier
1992281604
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
23960 Issued in TX
Legal business name
KSM DENTAL ASSOCIATES, PLLC
Doing business as
Krum Dental Associates
Practice address
1617 E McCart St Ste 100
Krum, TX 76249-5645
Phone
(940) 482-6300
Fax
(940) 482-6270
NPI assigned
Jul 16, 2018
Last updated
Feb 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Katrinia Sue McBride, DDSNPI 1407099260
Title
Dentist
Phone
(940) 482-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 23960 TX Primary

Addresses

Primary practice location

1617 E McCart St Ste 100
Krum, TX 76249-5645

Mailing address

1617 E McCart St Ste 100
Krum, TX 76249-5645
Phone (940) 482-6300

Other names 1

  • Krum Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1617 E McCart St
Ste 100
Krum, TX 76249
Phone (940) 482-6300

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1992281604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 E MCCART ST STE 100",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762495645",
            "telephone_number": "940-482-6300",
            "fax_number": "940-482-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 E MCCART ST STE 100",
            "city": "KRUM",
            "state": "TX",
            "postal_code": "762495645",
            "telephone_number": "940-482-6300",
            "fax_number": "940-482-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSM DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "MCBRIDE",
        "authorized_official_first_name": "KATRINIA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "940-482-6300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "23960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krum Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Krum, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.