NPIMap

Organization Active NPI

Loyal Family Dentistry

  • Dental Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1003280371
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
27429 Issued in TX
Legal business name
LOYAL FAMILY DENTISTRY
Practice address
1021 SW 3Rd St
Grand Prairie, TX 75051-3070
Phone
(972) 264-4791
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Dr. Ehsan Javidan Nejad, DDS
Title
Manager
Phone
(313) 529-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 27429 TX Primary

Addresses

Primary practice location

1021 SW 3Rd St
Grand Prairie, TX 75051-3070

Mailing address

301 Las Colinas Blvd W
# 404
Irving, TX 75039-5477
Phone (313) 529-2404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1003280371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LAS COLINAS BLVD W",
            "address_2": "# 404",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395477",
            "telephone_number": "313-529-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SW 3RD ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513070",
            "telephone_number": "972-264-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOYAL FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "JAVIDAN NEJAD",
        "authorized_official_first_name": "EHSAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "313-529-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.