Organization Active NPI

Dazzling Smiles Dental

  • Dentist
  • Carrollton, TX
National Provider Identifier
1104202019
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAZZLING SMILES DENTAL
Practice address
2145 North Josey Lane.
Carrollton, TX 75006
Phone
(972) 820-0333
Fax
(972) 820-0335
NPI assigned
Aug 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Dr. Kavither Saggam Saggam, M. DM
Title
Owner/Doctor.
Phone
(972) 820-0333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X TX Primary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X TX

Addresses

Primary practice location

2145 North Josey Lane.
Carrollton, TX 75006

Mailing address

2145 North Josey Lane.
Carrollton, TX 75006
Phone (972) 820-0333

National Provider Directory

National Provider Directory

Locations

2145 N Josey Ln
Carrollton, TX 75006
Phone (203) 918-3723

Practitioners & affiliated clinicians

Practitioners 1

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": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1104202019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 NORTH JOSEY LANE.",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "972-820-0333",
            "fax_number": "972-820-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 NORTH JOSEY LANE.",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75006",
            "telephone_number": "972-820-0333",
            "fax_number": "972-820-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLING SMILES DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "SAGGAM",
        "authorized_official_first_name": "KAVITHER",
        "authorized_official_middle_name": "SAGGAM",
        "authorized_official_title_or_position": "OWNER/DOCTOR.",
        "authorized_official_telephone_number": "972-820-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. DM"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TX",
            "license": null,
            "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 3, 2015; 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.