Carewell Dental Dallas PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CAREWELL DENTAL DALLAS PA

Doing business as

Carewell Dental Dallas

Practice address

3128 Forest LN Ste 106
Dallas, TX 75234-7725

Phone

(972) 241-4820

NPI assigned

Mar 15, 2019

Last updated

Mar 15, 2019By 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

Jason Wang, DDS

Title

Owner

Phone

(214) 714-7997

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Carewell Dental Dallas Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1073072369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347725",
            "telephone_number": "972-241-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3128 FOREST LN STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347725",
            "telephone_number": "972-241-4820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREWELL DENTAL DALLAS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-714-7997",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1770747578",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1962995134",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "carewelldentaldallas@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3128 Forest Ln Ste 106",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752347725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Carewell Dental Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; 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.