FAMILIA DENTAL BIG SPRING PLLC (NPI# 1003160664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003160664 |
| Entity Type | Organization |
| Organization Name | FAMILIA DENTAL BIG SPRING PLLC |
| Practice Address |
1915 S Gregg St Big Spring TX 79720-5434 |
| Mailing Address |
2050 E Algonquin Rd Suite 610 Schaumburg IL 60173-4144 |
| Practice Telephone | 8889884066 |
| Practice Fax Number | 8474967603 |
| Mailing Telephone | 8889884066 |
| Mailing Fax Number | 8474967603 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | DR. KOUSHAN AZAD (PRESIDENT) |
| Authorized Official Telephone | 8889884066 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1915 S GREGG ST |
| City | BIG SPRING |
| State | TX |
| Zip Code | 79720-5434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527035 | Ketaki Chougule | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2020-08-04 |
| 1265085609 | Parham Koohbor | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2019-07-23 |
| 1518529643 | Jie Yu | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2019-06-28 |
| 1083107494 | Emmanuel Yadoglah | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2018-06-11 |
| 1316493851 | Ji Choi | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2016-08-25 |
| 1568874584 | Julee Tae | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2014-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174174072 | Sharron Harrell | Technician | 407 Driver Rd, Big Spring, TX 79720 | 2019-09-23 |
| 1760049357 | Big Spring Urgent Care Pllc | Clinic/Center | 1700 Wfm 700 Suite B, Big Spring, TX 79720 | 2019-05-20 |
| 1558927582 | West Texas Injury Prevention | Nurse Practitioner | 1111 Scurry, Big Spring, TX 79720 | 2019-05-15 |
| 1417442781 | Caprise Carrisalez | Licensed Vocational Nurse | 2536 Westover, #140, Big Spring, TX 79720 | 2018-06-28 |
| 1235644758 | Connect2speech, LLC | Speech-Language Pathologist | 603 S Gregg St Ste C, Big Spring, TX 79720 | 2017-12-06 |
| 1396256913 | Pf Development 16, LLC | Home Health | 609 S Gregg St, Big Spring, TX 79720 | 2017-10-23 |
| 1497202063 | Wiggins-worthy Wellness Pllc | Clinic/Center | 607 N Main St., Big Spring, TX 79720 | 2016-09-01 |
| 1336537109 | Sangwook Kang | Nurse Anesthetist, Certified Registered | 1601 W 11th Place, Big Spring, TX 79720 | 2015-01-02 |
| 1245542091 | Mme II LLC | Durable Medical Equipment & Medical Supplies | 1903 S Gregg St, Big Spring, TX 79720 | 2010-07-09 |
| 1699945659 | Treasa Kerby Wells | Registered Nurse | 2103 Morrison Drive, Big Spring, TX 79720 | 2008-03-06 |
| Find all providers in zip 79720 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376763581 | James Lee Carpenter | Dentist | 2001 Rickabaugh Dr, Big Spring, TX 79720-7702 | 2007-04-27 |
| 1134258502 | David L. Ward | Dentist | 1500 Scurry St, Big Spring, TX 79720-4441 | 2007-03-03 |
| 1922187913 | Richard Carter Cauley | Dentist | 701 Johnson, Big Spring, TX 79721-0629 | 2006-11-02 |
| 1588764773 | Amy Elizabeth Reese | Dentist | 1708 E Fm 700, Big Spring, TX 79720-5060 | 2006-09-25 |
| 1033216551 | John Harry Myers | Dentist | 1702 W Fm 700, Big Spring, TX 79720-4120 | 2006-09-19 |
| 1982719415 | Robert Piner Patterson | Dentist | 306 E 9th St, Big Spring, TX 79720-2812 | 2006-08-21 |
| 1255445052 | John Richard Key | Dentist | 709 Scurry St, Big Spring, TX 79720-2722 | 2006-08-18 |
| 1720606809 | Amir Botros | Dentist | 1500 Scurry St, Big Spring, TX 79720-4441 | 2020-07-06 |
| 1659920759 | Roxana Hurtado | Dentist | 1300 S Gregg St, Big Spring, TX 79720-4325 | 2019-09-11 |
| 1265085609 | Parham Koohbor | Dentist | 1915 S Gregg St, Big Spring, TX 79720-5434 | 2019-07-23 |
| Find all providers in BIG SPRING | ||||
| City | BIG SPRING |
| Zip Code | 79720 |
Please comment or provide details below to improve the information on FAMILIA DENTAL BIG SPRING PLLC.
| 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.