NPI age
14 years
Enumerated 2012-04-10
● Active Type 2 · Organization
Pediatric Dentistry Of Colleyville, P.A.
Pediatric Dentistry Of Colleyville, P.A. is 1 of 1762 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Nahatis
Owner / Dentist
Last NPPES update
2012-04-10
Source: monthly bulk 2026-05
How this organization compares
Across 1762 active clinic/center providers in Texas.
NPI age
14 years
↑ 8 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Primary practice location
4109 Brown Trl, Suite 102
Colleyville, TX 760343998
Mailing address
4109 Brown Trl, Suite 102
Colleyville, TX 760343998
Authorized official
Loria Guiatas Nahatis, D.D.S.
Owner / Dentist
📞 8174287704
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Loria Nahatis, D.D.S Dentist NPI 1619010972
- Kathleen Pace, D.D.S. Dentist NPI 1902987274
- Tuong Ta, DDS Dentist NPI 1407145287
Specialties
-
Clinic/Center PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 1629026430 | INDIVIDUAL NPI |
| 01 (TX) | 18278 | DENTAL LICENSE |
| 01 (TX) | 1619010972 | INDIVIDUAL NPI |
| 01 (TX) | 21802 | DENTAL LICENSE |
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.