Active NPI
Today Dental of Northlake
- General Practice Dentistry
- Northlake, TX
National Provider Identifier
1013694199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- TODAY DENTAL OF NORTHLAKE
- Practice address
- 1248 FM 407
Suite 300
Northlake, TX 76226 - Phone
- (817) 435-1585
- NPI assigned
- Jun 30, 2023
- Last updated
- Jun 30, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kacey Mahoney, DMD
- Title
- Owner
- Phone
- (435) 229-7662
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
1248 FM 407
Suite 300
Northlake, TX 76226
Mailing address
520 E Vine St Unit 484
Keller, TX 76244-3821
National Provider Directory
National Provider DirectoryLocations
1248 FM 407 W
Ste 300
Northlake, TX 76226
Phone (817) 435-1585
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Fort Worth, TX
- NPI 1912344748
-
- Dentist
- Palo Alto, CA
- NPI 1528809118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1688083200000",
"number": "1013694199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E VINE ST UNIT 484",
"city": "KELLER",
"state": "TX",
"postal_code": "762443821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1248 FM 407",
"address_2": "SUITE 300",
"city": "NORTHLAKE",
"state": "TX",
"postal_code": "76226",
"telephone_number": "817-435-1585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TODAY DENTAL OF NORTHLAKE",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-30",
"last_updated": "2023-06-30",
"certification_date": "2023-06-20",
"status": "A",
"authorized_official_last_name": "MAHONEY",
"authorized_official_first_name": "KACEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "435-229-7662",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northlake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.