Organization Active NPI

Dental and Braces Midway LLC

  • Health Service Clinic/Center
  • Dallas, TX
National Provider Identifier
1093491854
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
DENTAL AND BRACES MIDWAY LLC
Doing business as
Somos Dental and orthodontics
Practice address
12801 Midway Rd Ste 507
Dallas, TX 75244-6841
Phone
(602) 726-3221
NPI assigned
Jun 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
Elizabeth Ramos, MANAGER
Title
General Manager
Phone
(602) 726-3221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

12801 Midway Rd Ste 507
Dallas, TX 75244-6841

Mailing address

1515 N Gilbert Rd Ste 107-131
Gilbert, AZ 85234-2318
Phone (602) 726-3221

Other names 1

  • Somos Dental and orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

12801 Midway Rd
Ste 507
Dallas, TX 75244
Phone (602) 726-3221

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1093491854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N GILBERT RD STE 107-131",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342318",
            "telephone_number": "602-726-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 MIDWAY RD STE 507",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446841",
            "telephone_number": "602-726-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AND BRACES MIDWAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "602-726-3221",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somos Dental and orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.