South Josey Lane Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SOUTH JOSEY LANE FAMILY DENTAL PLLC

Practice address

1103 S Josey LN Ste 706-707
Carrollton, TX 75006-7680

Phone

(940) 220-7833

NPI assigned

Dec 18, 2020

Last updated

Dec 18, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Everett C Evans, DDSNPI 1407930050

Title

Owner/Dentist

Phone

(940) 220-7833

Specialties & licenses 1

Addresses

Locations

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.

• Everett Chad Evans, D.D.S.

  • Dentist
  • Denton, TX
  • NPI 1407930050
  NPD (past) Authorized official
• Ruth Umoren, DMD

  • General Practice Dentistry
  • Carrollton, TX
  • NPI 1902655525
  NPD
• Craig Fleming Copeland, D.M.D

  • Dentist
  • Arlington, TX
  • NPI 1184936726
  NPD (past)

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1053907501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 N I 35 STE 205",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762071438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S JOSEY LN STE 706-707",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750067680",
            "telephone_number": "940-220-7833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JOSEY LANE FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "940-220-7833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashraf A Soomar-Kheraj, D.C.
• Jennifer Soper
• Jessica Sorvari, BCBA, LBA
• Hector Alejandro Soto
• Soumava Sen, DDS, P.C.
• South Josey Renovo Dentistry PLLC
• Southern Family Medical Clinic Inc.
• Southern Medical Family Clinic, Inc. (Carrollton Medical &Health Clinic PLLC)
• Southwest Dermatopathology Consultants, PA
• Southwest Podiatry, LLP

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.