NPIMap

Organization Active NPI

Shepherd Lane Dental Associates

Doing business as Towngate Dental

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1033443742
Registry record updated Mar 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SHEPHERD LANE DENTAL ASSOCIATES
Doing business as
Towngate Dental
Practice address
2121 Northwest Highway
Suite 112
Garland, TX 75041-4851
Phone
(469) 331-9460
Fax
(469) 331-9461
NPI assigned
Sep 28, 2009
Last updated
Mar 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2015

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

Authorized official

Name
Harry Blanek
Title
D.D.S./President
Phone
(972) 512-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

2121 Northwest Highway
Suite 112
Garland, TX 75041-4851

Mailing address

15110 N. Dallas Parkway
Suite 470
Dallas, TX 75248-4635

Other names 1

  • Towngate Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shepherd Lane Dental Associates8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15110 Dallas Pkwy
Ste 470
Dallas, TX 75248
Phone (972) 512-0285

NPI Registry JSON

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425427200000",
    "number": "1033443742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 N. DALLAS PARKWAY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NORTHWEST HIGHWAY",
            "address_2": "SUITE 112",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750414851",
            "telephone_number": "469-331-9460",
            "fax_number": "469-331-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD LANE DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-28",
        "last_updated": "2015-03-04",
        "status": "A",
        "authorized_official_last_name": "BLANEK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "D.D.S./PRESIDENT",
        "authorized_official_telephone_number": "972-512-0285"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Towngate Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; 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.