RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS (NPI# 1053756858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053756858 |
| Entity Type | Organization |
| Organization Name | RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS |
| Other Organization Name | GROWING SMILES |
| Practice Address |
3610 Shire Blvd Ste 110 Richardson TX 75082-2239 |
| Practice Telephone | 2146974173 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | DR. KHALED JADID (DENTIST) |
| Authorized Official Telephone | 2146974173 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Growing Smiles | Doing Business As Name - Organization |
| Street Address |
3610 SHIRE BLVD STE 110 |
| City | RICHARDSON |
| State | TX |
| Zip Code | 75082-2239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376020149 | Nelcy Sanchez | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2018-07-25 |
| 1649632365 | Juveria Syed Ali Hussain | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2016-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
| 1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
| 1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
| 1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
| 1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
| 1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
| 1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
| 1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
| 1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
| 1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
| Find all providers in zip 75082 | ||||
| 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 |
|---|---|---|---|---|
| 1821361858 | Carla Matwijecky Damon | Dentist | 375 Municipal Dr Ste 104, Richardson, TX 75080-3543 | 2012-02-22 |
| 1659502730 | Canyon Creek Family Dentistry, P.a. | Dentist | 2091 N Collins Blvd Ste 100, Richardson, TX 75080-2636 | 2009-08-06 |
| 1881831790 | Dane Hoang D.d.s., M.s & Associates | Dentist | 4011 E Renner Rd, Suite 108, Richardson, TX 75082-2916 | 2009-01-14 |
| 1730309402 | Dr Robert E Morgan | Dentist | 375 Municipal, Suite 104, Richardson, TX 75080 | 2007-04-26 |
| 1912058439 | Martha A Alvarez | Dentist | 312 Fall Creek Dr, Richardson, TX 75080-2573 | 2007-01-12 |
| 1205922853 | Terri Eileen Train | Dentist | 100 N. Central Expressway, Suite 1108, Richardson, TX 75080-5328 | 2006-10-04 |
| 1376020149 | Nelcy Sanchez | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2018-07-25 |
| 1649632365 | Juveria Syed Ali Hussain | Dentist | 3610 Shire Blvd Ste 110, Richardson, TX 75082-2239 | 2016-03-22 |
| 1063744050 | Harold Von Simpson | Dentist | 100 N Central Expy, Suite 1108, Richardson, TX 75080-5332 | 2010-02-02 |
| 1386810505 | Candice Zerby Hutcheson | Dentist | 100 N Central Expy, Suite 1108, Richardson, TX 75080-5332 | 2008-05-07 |
| Find all providers in RICHARDSON | ||||
| City | RICHARDSON |
| Zip Code | 75082 |
Please comment or provide details below to improve the information on RENNER CHILDREN'S DENTISTRY AND ORTHODONTICS.
| 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.