KIDS FIRST PEDIATRIC DENTISTRY (NPI# 1043549173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043549173 |
Entity Type | Organization |
Organization Name | KIDS FIRST PEDIATRIC DENTISTRY |
Practice Address |
4010 Sandy Brook Dr Suite 106 Round Rock TX 78665-1516 |
Mailing Address |
1847 Nelson Ranch Loop Cedar Park TX 78613-4034 |
Practice Telephone | 5122199827 |
Mailing Telephone | 5125734901 |
Enumeration Date | 2009-12-20 |
Last Update Date | 2009-12-20 |
Authorized Official Name | DR. MARIA ISABEL MENDOZA (PEDIATRIC DENTIST) |
Authorized Official Telephone | 5122199827 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22437 | TX | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285022582 | Kids First Pediatric Dentistry | Dentist | 3220 S Gilbert Rd Ste 1, Chandler, AZ 85286-5109 | 2015-01-08 |
1881859197 | Kids First Pediatric Dentistry | Exclusive Provider Organization | 1534 Weatherston Ct., Elgin, IL 60123-2019 | 2008-07-25 |
Street Address |
4010 SANDY BROOK DR SUITE 106 |
City | ROUND ROCK |
State | TX |
Zip Code | 78665-1516 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831177880 | Brian Douglas Fell | Optometrist | 4010 Sandy Brook Dr, Ste 101, Round Rock, TX 78665-1516 | 2006-01-09 |
1770131138 | Nicole Mccourt | Speech-Language Pathologist | 4010 Sandy Brook Dr, Round Rock, TX 78665-1516 | 2019-08-29 |
1457708976 | Kellerman Chiropractic Center LLC | Chiropractor | 4010 Sandy Brook Dr, Suite 103, Round Rock, TX 78665-1516 | 2016-05-16 |
1609235654 | Ashlee Nealis | Speech-Language Pathologist | 4010 Sandy Brook Dr, Ste 201, Round Rock, TX 78665-1516 | 2016-02-18 |
1548683592 | Mighty Kids Therapy | Clinic/Center | 4010 Sandy Brook Dr, Ste 201, Round Rock, TX 78665-1516 | 2014-01-28 |
1265753537 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 4010 Sandy Brook Dr, Suite 102, Round Rock, TX 78665-1516 | 2010-06-21 |
1528395993 | Texas Retina Institute Pa | Ophthalmology | 4010 Sandy Brook Dr, Suite 105, Round Rock, TX 78665-1516 | 2009-11-05 |
1831320837 | Pioneer Vision Pa | Optometrist | 4010 Sandy Brook Dr, Suite 101, Round Rock, TX 78665-1512 | 2009-08-07 |
1700085248 | Aaron Roller | Ophthalmology | 4010 Sandy Brook Dr, Suite 105, Round Rock, TX 78665-1516 | 2007-07-14 |
1801802830 | Maria I Mendoza | Dentist | 4010 Sandy Brook Dr, Suite 106, Round Rock, TX 78665-1516 | 2006-07-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992314306 | Prolab Incorporated | Clinical Medical Laboratory | Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665 | 2020-07-31 |
1902420391 | Seton Family of Doctors | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 University Oaks Blvd, Suite 1260, Round Rock, TX 78665 | 2020-06-02 |
1629538848 | Julie Mai Nguyen | Student in an Organized Health Care Education/Training Program | 425 University Blvd., Suite 300, Ms-m2 3.006, Round Rock, TX 78665 | 2019-03-22 |
1881154177 | Emily Victoria Bergstrom | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Clinic, 425 University Blvd., Suite 345, Round Rock, TX 78665 | 2019-03-22 |
1710473210 | Brandi Weldon | Doula | 1561 Kenneys Way, Round Rock, TX 78665 | 2018-07-08 |
1528564531 | Stacy Danielle Arrington | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center- Round Rock, 425 University Blvd, Suite 300, Ms-m2 3.005, Round Rock, TX 78665 | 2018-03-30 |
1386152601 | Stephanie Michelle Martinez | Behavioral Analyst | 1503 Balsam Way, Round Rock, TX 78665 | 2018-01-22 |
1245758507 | The Natural Birthing Center, LLC | Clinic/Center | 1101 Satellite View Suite 104, Round Rock, TX 78665 | 2017-09-06 |
1386160554 | Bloom Consulting, LLC | Community/Behavioral Health | 3001 Joe Dimaggio Blvd Ste 800, Round Rock, TX 78665 | 2017-08-18 |
1508387226 | Ipyana Anyelwisye | Psychologist | 3636 Short Horn Ln, Round Rock, TX 78665 | 2017-07-03 |
Find all providers in zip 78665 |
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 |
---|---|---|---|---|
1639361538 | Subash Mutyala | Dentist | 1500 A W Grimes Blvd, Ste 130, Round Rock, TX 78664-7836 | 2007-08-14 |
1285840363 | Family Dentistry & Orthodontic Centers P.C. | Dentist | 1205 Round Rock Ave Ste 101, Round Rock, TX 78681-4516 | 2007-05-15 |
1760704944 | Subash Mutyala, P.a. | Dentist | 1500 A W Grimes Blvd, Round Rock, TX 78664-7836 | 2010-02-16 |
1346470333 | Bookmyer and Bookmyer Pa | Dentist | 2100 Round Rock Ave, Round Rock, TX 78681-4010 | 2009-07-23 |
1992863559 | Kelsey Leigh Bookmyer | Dentist | 2100 Round Rock Ave, Round Rock, TX 78681-4010 | 2006-12-05 |
1801802830 | Maria I Mendoza | Dentist | 4010 Sandy Brook Dr, Suite 106, Round Rock, TX 78665-1516 | 2006-07-31 |
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 |
City | ROUND ROCK |
Zip Code | 78665 |
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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.