COLUMBUS CHILDREN'S DENTISTRY PLLC (NPI# 1265885057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265885057 |
| Entity Type | Organization |
| Organization Name | COLUMBUS CHILDREN'S DENTISTRY PLLC |
| Practice Address |
106 Shult Dr Ste Ab Columbus TX 78934-3016 |
| Practice Telephone | 9797338844 |
| Mailing Telephone | 9797338844 |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2016-07-18 |
| Authorized Official Name | SHAUN WILLIS (OWNER) |
| Authorized Official Telephone | 9797338844 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
27076 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | DENTAL LICENSE | 27076 | 01 |
| Street Address |
106 SHULT DR STE AB |
| City | COLUMBUS |
| State | TX |
| Zip Code | 78934-3016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851923270 | Cahrmc, LLC | Clinic/Center | 2122 Highway 71, Ste 100, Columbus, TX 78934 | 2020-02-05 |
| 1710535943 | Debra Matura | Registered Nurse | 3155 Dr 106, Columbus, TX 78934 | 2019-08-30 |
| 1104307628 | Staci M Ulrich | Counselor | 2540 Tx-71, Columbus, TX 78934 | 2018-08-23 |
| 1053702092 | Burton Health and Wellness, LLC | Chiropractor | 2126 S. State Hwy 71, Ste. C, Columbus, TX 78934 | 2015-02-12 |
| 1881756351 | Sandy B Bahm Md Pa | Orthopaedic Surgery | 420 Walnut #209, Columbus, TX 78934 | 2006-12-14 |
| 1649331869 | Miranda Elaine Torrey | Dentist | 109 Shult Drive, Suite 204, Columbus, TX 78934 | 2006-12-12 |
| 1730268582 | Sandy Bernard Bahm II | Orthopaedic Surgery | 420 Walnut, #209, Columbus, TX 78934 | 2006-11-03 |
| 1922196633 | Daniel Thomas Moeller | Dentist | 1223 Bowie St, Columbus, TX 78934 | 2006-10-10 |
| 1932127818 | Sds Physical Therapy Lp | Physical Therapist | 2122 Hwy 71 South, #103, Columbus, TX 78934 | 2006-07-18 |
| 1376532598 | Michael E Wilson | Radiology | 110 Shult, Columbus, TX 78934 | 2005-10-20 |
| Find all providers in zip 78934 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649811597 | Whole Tree Dentistry, PC | Clinic/Center | 2400a Double Churches Rd, Columbus, GA 31909-2741 | 2019-10-02 |
| 1770138513 | Rdw2 Dental Group | Clinic/Center | 989 N 4th St, Columbus, OH 43201-3666 | 2019-08-08 |
| 1770142531 | James T. Mathias Dds Inc. | Clinic/Center | 1080 Polaris Pkwy Ste 220, Columbus, OH 43240-6035 | 2019-06-06 |
| 1376000224 | Kidsmiles Pediatric Dental Clinic | Clinic/Center | 770 Bethel Rd, Columbus, OH 43214-1900 | 2019-02-27 |
| 1467940627 | Ld-columbus LLC | Clinic/Center | 611 Leigh Dr, Columbus, MS 39705-3036 | 2018-04-24 |
| 1740629039 | Elegant Smiles Dentistry | Clinic/Center | 4775 Knights Bridge Blvd., Columbus, OH 43214 | 2013-06-19 |
| 1073814562 | Capstone Dental Snipes and Piper LLC | Clinic/Center | 10 N High St, Suite 403, Columbus, OH 43215-3496 | 2010-11-15 |
| 1194963181 | White River Dental LLC | Clinic/Center | 2459 W Jonathan Moore Pike, Columbus, IN 47201-9206 | 2009-01-28 |
| 1710130455 | Idealsmile | Clinic/Center | 2501 Whittlesey Blvd, Suite B, Columbus, GA 31909-3031 | 2008-10-28 |
| 1063624393 | Charles A. Crawford D.d.s. | Clinic/Center | 1031 College Ave, Columbus, OH 43209-7801 | 2007-05-07 |
| Find all providers in COLUMBUS | ||||
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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.