RWPK LLC (NPI# 1225409139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225409139 |
| Entity Type | Organization |
| Organization Name | RWPK LLC |
| Other Organization Name | KERRVILLE PEDIATRIC DENTISTRY |
| Practice Address |
715 Hill Country Dr Ste 5 Kerrville TX 78028-5965 |
| Practice Telephone | 8302554197 |
| Mailing Telephone | 8302554197 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | REX ELWYN WILDEY (OWNER) |
| Authorized Official Telephone | 8302554197 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | Y |
| Parent Organization Name | RWPK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
25425 | TX | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 211746707 | 05 |
| Other Name | Type Code |
|---|---|
| Kerrville Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
715 HILL COUNTRY DR STE 5 |
| City | KERRVILLE |
| State | TX |
| Zip Code | 78028-5965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629556899 | Jackson Clinic of Chiropractic, Inc. | Chiropractor | 715 Hill Country Dr Ste 5, Kerrville, TX 78028-5965 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982247201 | Js Clark Holdings LLC | In Home Supportive Care | 1001 Water St Bldg. G, Kerrville, TX 78028 | 2019-10-18 |
| 1265931232 | Nancy Ellen Morris | Nurse Practitioner | 1331 Bandera Hwy Ste. 2, Kerrville, TX 78028 | 2018-02-06 |
| 1396254181 | Ha Huynh | Occupational Therapist | 1213 Water Street, Kerrville, TX 78028 | 2017-09-25 |
| 1518498302 | Kelsey Marie Jones | Chiropractor | 1416 Sidney Baker St, Kerrville, TX 78028 | 2017-03-23 |
| 1710422597 | Tracy L. Flowers | Speech-Language Pathologist | 306 Westey Dr., Ste A, Kerrville, TX 78028 | 2017-01-03 |
| 1104271576 | Laurence Robert Bower IIi | Clinic/Center | 207b Sidney Baker Street S, Kerrville, TX 78028 | 2016-05-04 |
| 1760865505 | Kathryn Figer | Internal Medicine | 551 Hill Country Dr Dept Of, Kerrville, TX 78028 | 2015-06-29 |
| 1992187892 | Caroline Z Garcia | Counselor | 819 Water St Ste 130, Kerrville, TX 78028 | 2015-06-26 |
| 1124405188 | Str8 Smiles Inc | Dentist | 115 Plaza Drive, Apt 5005, Kerrville, TX 78028 | 2015-04-29 |
| 1447655782 | Jesus Ramirez | Counselor | 222 Sidney Baker Suite 435, Kerville, TX 78028 | 2014-10-29 |
| Find all providers in zip 78028 | ||||
| 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 |
|---|---|---|---|---|
| 1366848129 | Kerrville Pediatric Dentistry, Pllc | Dentist | 1700 Sidney Baker St, Suite #200, Kerrville, TX 78028-2654 | 2014-11-06 |
| 1528346996 | Vishal Panchmatia | Dentist | 1700 Sidney Baker St Ste 200, Kerrville, TX 78028 | 2011-08-02 |
| 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.