Active NPI
North Texas Periodontics and Implantology, LLP
- Periodontics
- Carrollton, TX
National Provider Identifier
1073520193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 16726
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael J McQuade, DDS, MS
- Title
- Owner/Managing Partner
- Phone
- (972) 394-1234
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16726 | TX | Primary |
| Periodontics | 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 DirectoryLocations
3730 N Josey Ln
Ste 110
Carrollton, TX 75007
Phone (972) 394-1234
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Carrollton, TX
- NPI 1912041765
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.