Elizabeth Joseph, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

18939 Issued in TX

Practice address

3108 N Macarthur Blvd
Irving, TX 75062-4451

Phone

(972) 252-9557

Fax

(972) 257-8322

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dental Associates of Las Colinas

  dba Irving Kids Dentist

  • Pediatric Dentistry
  • Irving, TX
  • NPI 1427494590
  NPD Authorized official

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1033210158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "817-933-9816",
            "fax_number": "972-257-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750624451",
            "telephone_number": "972-252-9557",
            "fax_number": "972-257-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "ELIZABETH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "18939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3191173-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120954608",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vickie Denise Jones, AGPCNP- BC
• Whittney Ryals Jones, CRNA
• Markelse Jordan, LPC
• Aleena Jose, DPT
• Chenya Joseph
• Jeethu K Joseph, PHD
• Sigimol Joseph, FNP
• Sujatha Joseph
• Susan P Joseph, CRNA
• Tia Joseph, PHARMD

• Pediatric Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.