NPIMap

Organization Active NPI

Perla Dental of Farmers Branch

  • Dentist
  • Farmers Branch, TX
National Provider Identifier
1114138591
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PERLA DENTAL OF FARMERS BRANCH
Practice address
14510 Josey LN
Suite 206
Farmers Branch, TX 76092
Phone
(972) 243-3739
NPI assigned
May 25, 2007
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
Jayesha Hussain, DDSNPI 1679615512
Title
Owner
Phone
(469) 387-3332

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

14510 Josey LN
Suite 206
Farmers Branch, TX 76092

Mailing address

1801 Lantana CT
Southlake, TX 76092-3571

National Provider Directory

National Provider Directory

Locations

14510 Josey Ln
Ste 206
Farmers Branch, TX 75234
Phone (972) 243-3739

Practitioners & affiliated clinicians

Practitioners 4

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114138591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LANTANA CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14510 JOSEY LN",
            "address_2": "SUITE 206",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "972-243-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF FARMERS BRANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-387-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmers Branch, 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.