NPIMap

Organization Active NPI

Anna Dental

  • Dentist
  • Anna, TX
National Provider Identifier
1013252139
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21693 Issued in TX
Legal business name
ANNA DENTAL
Doing business as
Anna Dental
Practice address
2101 W. White St., Suite 100
Anna, TX 75409
Phone
(972) 924-2452
Fax
(972) 924-2459
NPI assigned
Nov 29, 2012
Last updated
Jun 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Dr. Jeffrey Ludlow, D.D.S.NPI 1326055625
Title
Owner
Phone
(972) 924-2452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21693 TX Primary

Addresses

Primary practice location

2101 W. White St., Suite 100
Anna, TX 75409

Mailing address

2101 W. White St., Suite 100
Anna, TX 75409
Phone (972) 924-2452

Other names 1

  • Anna Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1013252139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W. WHITE ST., SUITE 100",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "75409",
            "telephone_number": "972-924-2452",
            "fax_number": "972-924-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W. WHITE ST., SUITE 100",
            "city": "ANNA",
            "state": "TX",
            "postal_code": "75409",
            "telephone_number": "972-924-2452",
            "fax_number": "972-924-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "LUDLOW",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-924-2452",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anna Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anna, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.