Allheart Dental Grand Prairie,PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

28128 Issued in TX

Legal business name

ALLHEART DENTAL GRAND PRAIRIE,PLLC

Practice address

2502 S Belt Line Rd
Suite 200
Grand Prairie, TX 75052-5345

Phone

(646) 577-1535

NPI assigned

Jul 26, 2016

Organization subpart

No

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

Authorized official

Name

Lydia Zhou

Title

Office Manager

Phone

(646) 577-1535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1104379106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 EMERSON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752051144",
            "telephone_number": "646-577-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 S BELT LINE RD",
            "address_2": "SUITE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525345",
            "telephone_number": "646-577-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLHEART DENTAL GRAND PRAIRIE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "ZHOU",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-577-1535"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Grand Prairie, TX
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• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.