Organization Active NPI

Chrysalis Dental Arts PLLC

  • Dental Clinic/Center
  • Duncanville, TX
National Provider Identifier
1023432531
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHRYSALIS DENTAL ARTS PLLC
Doing business as
Beverly Deacon DDS @ Walnut Grove Dental
Practice address
403 W Wheatland Rd
Duncanville, TX 75116-4619
Phone
(972) 298-4191
Fax
(972) 298-3290
NPI assigned
Feb 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Authorized official

Name
Linda Allmon
Title
Practice Admin.
Phone
(972) 298-4191

Specialties & licenses 1

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

Addresses

Primary practice location

403 W Wheatland Rd
Duncanville, TX 75116-4619

Mailing address

403 W Wheatland Rd
Duncanville, TX 75116-4619
Phone (972) 298-4191

Other names 1

  • Beverly Deacon DDS @ Walnut Grove Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1023432531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164619",
            "telephone_number": "972-298-4191",
            "fax_number": "972-298-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W WHEATLAND RD",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164619",
            "telephone_number": "972-298-4191",
            "fax_number": "972-298-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRYSALIS DENTAL ARTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "ALLMON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PRACTICE ADMIN.",
        "authorized_official_telephone_number": "972-298-4191"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Deacon DDS @ Walnut Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duncanville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.