NPIMap

Organization Active NPI

Kathleen Pace D.D.S., P.C.

  • Pediatric Dentistry
  • Colleyville, TX
National Provider Identifier
1992886204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
18619 Issued in TX
Legal business name
KATHLEEN PACE D.D.S., P.C.
Practice address
4109 Brown TRL
Suite 102
Colleyville, TX 76034-3998
Phone
(817) 428-7704
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathleen Pace, D.D.S.NPI 1902987274
Title
President
Phone
(817) 428-7704

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 18619 TX Primary

Addresses

Primary practice location

4109 Brown TRL
Suite 102
Colleyville, TX 76034-3998

Mailing address

4109 Brown TRL
Suite 102
Colleyville, TX 76034-3998
Phone (817) 428-7704

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992886204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 BROWN TRL",
            "address_2": "SUITE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343998",
            "telephone_number": "817-428-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 BROWN TRL",
            "address_2": "SUITE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760343998",
            "telephone_number": "817-428-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN PACE D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-428-7704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colleyville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.