NPIMap

Organization Active NPI

JDC Healthcare, PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1003017096
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14391 Issued in TX
Legal business name
JDC HEALTHCARE, PLLC
Practice address
3010 Lyndon B Johnson Fwy
Suite 200
Dallas, TX 75234-7770
Phone
(972) 444-8888
Fax
(972) 488-1899
NPI assigned
May 29, 2007
Last updated
Mar 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Philip Cordell
Title
Dentist Owner
Phone
(972) 444-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14391 TX Primary

Addresses

Primary practice location

3010 Lyndon B Johnson Fwy
Suite 200
Dallas, TX 75234-7770

Mailing address

3030 LBJ Fwy
Suite 1400
Dallas, TX 75234-7781
Phone (972) 444-8888

National Provider Directory

National Provider Directory
Tax ID family
JDC Healthcare PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3010 Lyndon B Johnson Fwy
Ste 200
Dallas, TX 75234
Phone (972) 247-9236

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1003017096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 LBJ FWY",
            "address_2": "SUITE 1400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347781",
            "telephone_number": "972-444-8888",
            "fax_number": "972-488-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 LYNDON B JOHNSON FWY",
            "address_2": "SUITE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347770",
            "telephone_number": "972-444-8888",
            "fax_number": "972-488-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDC HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "CORDELL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "972-444-8888",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.