Active NPI
Irving Dental Care PC
- General Practice Dentistry
- Irving, TX
National Provider Identifier
1114500121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- IRVING DENTAL CARE PC
- Practice address
- 1451 W Airport Fwy Ste 103
Irving, TX 75062-6223 - Phone
- (817) 676-1590
- Fax
- (817) 977-1110
- NPI assigned
- Apr 29, 2021
- Last updated
- Apr 29, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Imad Khan, DDS
- Title
- Founder
- Phone
- (315) 383-1074
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1451 W Airport Fwy Ste 103
Irving, TX 75062-6223
Mailing address
1451 W Airport Fwy Ste 103
Irving, TX 75062-6223
Phone (817) 676-1590
National Provider Directory
National Provider DirectoryLocations
1451 W Airport Fwy
Ste 103
Irving, TX 75062
Phone (315) 383-1074
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Irving, TX
- NPI 1801158829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1114500121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 W AIRPORT FWY STE 103",
"city": "IRVING",
"state": "TX",
"postal_code": "750626223",
"telephone_number": "817-676-1590",
"fax_number": "817-977-1110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 W AIRPORT FWY STE 103",
"city": "IRVING",
"state": "TX",
"postal_code": "750626223",
"telephone_number": "817-676-1590",
"fax_number": "817-977-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRVING DENTAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-29",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "IMAD",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "315-383-1074",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Irving Coppell Ear, Nose & Throat
- Irving Coppell Surgical Hospital
- Irving Coppell Womens Health Center,PA
- Irving Dental and Orthodontics PLLC
- Irving Dental Associates PLLC (Irving Dental)
- Irving Dental PLLC
- Irving Dentistry Associates, PLLC (DFW Dental Service)
- Irving DX Laboratories LLC
- Irving Family Dentistry PLLC
- Irving Family Smiles, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.