KIDS TOOTH TEAM (NPI# 1003432238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003432238 |
| Entity Type | Organization |
| Organization Name | KIDS TOOTH TEAM |
| Practice Address |
1245 Main Street, Bldg B-2 Suite 300 Buda TX 78610 |
| Practice Telephone | 3039448045 |
| Mailing Telephone | 3039448045 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | DR. ALEXANDRA BARTON OTTO (DIRECTOR) |
| Authorized Official Telephone | 2392930387 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Street Address |
1245 MAIN STREET, BLDG B-2 SUITE 300 |
| City | BUDA |
| State | TX |
| Zip Code | 78610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043552029 | Alexandra Barton Otto | Dentist | 1245 Main Street, Bldg B-2, Suite 300, Buda, TX 78610 | 2013-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023633849 | Phillip Jones | Specialist/Technologist | 4260 Rr 967, Buda, TX 78610 | 2020-06-09 |
| 1992367460 | Budaful Eyes Pllc | Optometrist | 15550 S Ih 35 Frontage Rd, 107, Buda, TX 78610 | 2019-07-03 |
| 1831667120 | Suzette Molina | Counselor | 112 Cimarron Park Loop Ste B, Buda, TX 78610 | 2018-11-05 |
| 1497271225 | Kaylynn Schrandt | Social Worker | 251 Middle Creek Drive, Buda, TX 78610 | 2017-08-14 |
| 1518487172 | Megan Miller | Nurse Practitioner | 589 N Fm 1626 Ste 305, Buda, TX 78610 | 2017-06-26 |
| 1548630205 | Michelle Brighton Deleon | Nurse Practitioner | 1567 Main Street #100, Buda, TX 78610 | 2015-10-06 |
| 1851797963 | Sonia Mendez | Physical Therapy Assistant | 401 Pinafore St, Buda, TX 78610 | 2014-11-17 |
| 1447662499 | Lisa Stanhope | Counselor | 2020 Fm 967, Buda, TX 78610 | 2014-05-27 |
| 1922387190 | Phyllis J Wolf | Counselor | 383 Cullen Blvd, Buda, TX 78610 | 2011-08-05 |
| 1851611164 | Venessa Pena-robichaux | Dermatology | 211b N Fm 1626, Suite 1a, Buda, TX 78610 | 2010-06-09 |
| Find all providers in zip 78610 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043552029 | Alexandra Barton Otto | Dentist | 1245 Main Street, Bldg B-2, Suite 300, Buda, TX 78610 | 2013-03-18 |
| 1356533822 | Matthew Ben Johnson | Dentist | 119 Cimarron Park Loop, C, Buda, TX 78610-2839 | 2007-08-17 |
| 1063525301 | John Haakon Hinding | Dentist | 220 N Main St, Buda, TX 78610-3329 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647454 | Memorial Dentistry for Kids Pllc | Dentist | 14090 Memorial Dr, Houston, TX 77079-6848 | 2020-10-20 |
| 1497362651 | Munal Dental Pllc | Dentist | 2921 N Fm 1417 Ste 100, Sherman, TX 75092-3559 | 2020-09-30 |
| 1467069880 | Unique Kids Pediatric Dentistry, Pllc | Dentist | 22118 Market Place Dr Ste 500, New Caney, TX 77357-2165 | 2020-09-29 |
| 1104438092 | Sarah Al Kukash | Dentist | 2536 Amherst St Ste A, Houston, TX 77005-3207 | 2020-08-20 |
| 1295344679 | Bulverde Dental Specialist Pllc | Dentist | 22103 Bulverde Rd Ste 108, San Antonio, TX 78259-1855 | 2020-07-30 |
| 1174132559 | Previcare, Pllc | Dentist | 2006 W Campbell Rd Ste 300, Garland, TX 75044-2315 | 2020-07-30 |
| 1386252088 | Saba Saleem Tareen | Dentist | 1503 Royal Ln, Colleyville, TX 76034-5585 | 2020-07-19 |
| 1306454178 | Susan Roberts Pediatric Dentistry Pllc | Dentist | 5411 Basswood Blvd Ste 201, Fort Worth, TX 76137-4479 | 2020-07-17 |
| 1316564990 | Ikids Pediatric Dentistry Lakewood, Pllc | Dentist | 2011 Abrams Parkway, Dallas, TX 75214 | 2020-06-30 |
| 1316563497 | Woodlands Pediatric Dentistry PC | Dentist | 4850 W Panther Creek Dr Ste 102, The Woodlands, TX 77381-3595 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.