Active NPI
Dan Frank Bida
- General Practice Dentistry
- Arlington, TX
National Provider Identifier
1104053768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10850
- Practice address
- 912 W Randol Mill Rd
Suite C
Arlington, TX 76012-2564 - Phone
- (817) 274-8223
- Fax
- (817) 276-9243
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10850 | TX | Primary |
Addresses
Primary practice location
912 W Randol Mill Rd
Suite C
Arlington, TX 76012-2564
Mailing address
912 W, Randol Mill Rd.
Suite C
Arlington, TX 76012-2564
Phone (817) 274-8223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009511901 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10850 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arlington Implant Institute | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Arlington, TX
- NPI 1578667820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245628800000",
"number": "1104053768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "912 W, RANDOL MILL RD.",
"address_2": "SUITE C",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122564",
"telephone_number": "817-274-8223",
"fax_number": "817-276-9243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W RANDOL MILL RD",
"address_2": "SUITE C",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760122564",
"telephone_number": "817-274-8223",
"fax_number": "817-276-9243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIDA",
"first_name": "DAN",
"middle_name": "FRANK",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2009-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "10850",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009511901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.