NPIMap

Organization Active NPI

Dental Health Professionals

Doing business as The Carrollton Dentist

  • General Practice Dentistry
  • Carrollton, TX
National Provider Identifier
1104039957
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL HEALTH PROFESSIONALS
Doing business as
The Carrollton Dentist
Practice address
2440 N Josey LN
Suite 101
Carrollton, TX 75006-1668
Phone
(972) 323-0501
Fax
(972) 323-0551
NPI assigned
May 8, 2007
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
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2440 N Josey LN
Suite 101
Carrollton, TX 75006-1668

Mailing address

2440 N Josey LN
Suite 101
Carrollton, TX 75006-1668
Phone (972) 323-0501

Other names 1

  • The Carrollton Dentist Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Professionals4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2440 N Josey Ln
Ste 101
Carrollton, TX 75006
Phone (972) 323-0501

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104039957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 N JOSEY LN",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061668",
            "telephone_number": "972-323-0501",
            "fax_number": "972-323-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N JOSEY LN",
            "address_2": "SUITE 101",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750061668",
            "telephone_number": "972-323-0501",
            "fax_number": "972-323-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Carrollton Dentist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.