CDPT II PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

29183 Issued in TX

Legal business name

CDPT II PC

Doing business as

Children's Dental and Orthodontics

Practice address

17194 Preston Rd Ste 160
Dallas, TX 75248-1221

Phone

(214) 453-2565

NPI assigned

Nov 17, 2017

Last updated

Nov 17, 2017By 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

Charlotte V Dasch

Title

Sr. Operations Coordinator

Phone

(504) 638-0303

Specialties & licenses 2

Addresses

Other names 1

• Children's Dental and Orthodontics Doing business as

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1063926681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481221",
            "telephone_number": "214-453-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD STE 160",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481221",
            "telephone_number": "214-453-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDPT II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-17",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "DASCH",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "SR. OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "504-638-0303"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "29183",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cca Behavioral Health, PLLC
• CCC Home Health LLC (Bella Home Health of Texas)
• CCRS LLC
• CCST Associates PLLC
• CDC Orthodontics PLLC
• Lynn McPherson Cearley, LCSW
• Sydney Cearlock, MD
• Cedar Hill Avenue Anaesthesia Association, P.a.
• Cedar Hill Neuromonitoring LLC
• Kevin Bradley Cederberg, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.