DDS Associates of Texas PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DDS ASSOCIATES OF TEXAS PA

Practice address

15660 Dallas Pkwy Ste 925
Dallas, TX 75248-3323

Phone

(214) 702-0729

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Matt Hale

Title

Authorized Representative

Phone

(214) 702-0720

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1003570557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483323",
            "telephone_number": "214-702-0729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY STE 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483323",
            "telephone_number": "214-702-0729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDS ASSOCIATES OF TEXAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0720"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; 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.