Organization Active NPI

Ivory Dentistry P.a

  • General Practice Dentistry
  • Lewisville, TX
National Provider Identifier
1093897787
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21481 Issued in TX
Legal business name
IVORY DENTISTRY P.A
Practice address
2601 S Stemmons Fwy
Ste # 160
Lewisville, TX 75067-4137
Phone
(214) 488-3368
Fax
(214) 466-8957
NPI assigned
Oct 20, 2006
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. Rashmi Pawar, D. D. SNPI 1649352329
Title
Owner
Phone
(214) 488-3368

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21481 TX Primary

Addresses

Primary practice location

2601 S Stemmons Fwy
Ste # 160
Lewisville, TX 75067-4137

Mailing address

2601 S Stemmons Fwy
Ste # 160
Lewisville, TX 75067-4137
Phone (214) 488-3368

Other names 1

  • North Star Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2601 S Stemmons Fwy
Ste 160
Lewisville, TX 75067
Phone (214) 488-3368

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093897787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S STEMMONS FWY",
            "address_2": "STE # 160",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674137",
            "telephone_number": "214-488-3368",
            "fax_number": "214-466-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S STEMMONS FWY",
            "address_2": "STE # 160",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674137",
            "telephone_number": "214-488-3368",
            "fax_number": "214-466-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY DENTISTRY P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAWAR",
        "authorized_official_first_name": "RASHMI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-488-3368",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. D. S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Star Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, 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.