NPPES organizational identifier and taxonomy
Matched to a register
As of September 27, 2026, the CMS NPPES V.2 release and weekly updates list 1 active Type 2 organizational NPI record matching this directory business name and practice location by exact normalized legal or officially reported DBA name plus full practice street, unit when listed, city and state: 1255571303. Reported taxonomy codes: Dentist, General Practice (1223G0001X).
The dated CMS NPPES V.2 bulk snapshot through September 27, 2026. A match requires an exact normalized organization legal name or officially reported DBA, exact full practice street and city/state, and an active Type 2 NPI record in the latest available release. NPPES data are provider-reported; NPI assignment and taxonomy do not establish state licensure, credentialing, quality, insurance participation, or that a location is currently operating.
Matched against the September 14, 2026 CMS NPPES V.2 full replacement file and weekly incremental updates through September 27, 2026. Exact identity required the directory name to match the NPPES legal organization name or an officially reported Type 2 other name, and the full practice street, unit when provided, city, and state to match an NPPES primary or additional practice location. Deactivations in the monthly and weekly files were applied before matching. CMS cautions that NPI issuance does not validate licensure or credentialing.
- CMS NPPES provider record 1255571303 · Source observed 2026-10-01
- CMS NPPES V.2 monthly and weekly downloadable files · Source observed 2026-10-01
Reviewed 2026-10-01 · Review due 2026-10-31 · Version 1