NPIMap

Organization Active NPI

North Texas Periodontics and Implantology, LLP

  • Periodontics
  • Carrollton, TX
National Provider Identifier
1073520193
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
16726 Issued in TX
Legal business name
NORTH TEXAS PERIODONTICS AND IMPLANTOLOGY, LLP
Practice address
3730 N Josey LN
Ste 110
Carrollton, TX 75007-2484
Phone
(972) 394-1234
Fax
(972) 394-1154
NPI assigned
Aug 2, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael J McQuade, DDS, MSNPI 1861514978
Title
Owner/Managing Partner
Phone
(972) 394-1234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 16726 TX Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 17365 TX

Addresses

Primary practice location

3730 N Josey LN
Ste 110
Carrollton, TX 75007-2484

Mailing address

3730 N Josey LN
Ste 110
Carrollton, TX 75007-2484
Phone (972) 394-1234

National Provider Directory

National Provider Directory

Locations

3730 N Josey Ln
Ste 110
Carrollton, TX 75007
Phone (972) 394-1234

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073520193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 N JOSEY LN",
            "address_2": "STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072484",
            "telephone_number": "972-394-1234",
            "fax_number": "972-394-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 N JOSEY LN",
            "address_2": "STE 110",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072484",
            "telephone_number": "972-394-1234",
            "fax_number": "972-394-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS PERIODONTICS AND IMPLANTOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCQUADE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MANAGING PARTNER",
        "authorized_official_telephone_number": "972-394-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "16726",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": "17365",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.