M Dental 080,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

M DENTAL 080,PLLC

Practice address

725 N Fielder Rd
Arlington, TX 76012-4636

Phone

(817) 275-4817

Fax

(817) 460-4881

NPI assigned

Dec 21, 2018

Organization subpart

Yes

Parent organization

CHIP MERCER, DDS, PAAs reported in NPPES

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

Authorized official

Name

Dr. Chip Mercer, D.D.S.

Title

Owner

Phone

(817) 275-4817

Specialties & licenses 1

Addresses

Other names 1

• Fielder Park Dental Doing business as

Part of

Lee Charles Mercer Jr

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Chip Mercer, DDS, PA

  • Clinic/Center
  • Arlington, TX
  • NPI 1568791325
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Craig Faucette, D.D.S.

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1063586022

  General Practice

  NPD (past)

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

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1124590674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124636",
            "telephone_number": "817-275-4817",
            "fax_number": "817-460-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N FIELDER RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124636",
            "telephone_number": "817-275-4817",
            "fax_number": "817-460-4881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 S Cottonwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750805707",
            "country_code": "US",
            "telephone_number": "972-231-2063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "M DENTAL 080,PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIP MERCER, DDS, PA",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "CHIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-275-4817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fielder Park Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• M.Gayle Mullanax, MD PA
• John Ma, L.AC.
• Alana Kathleen Macalik, D.D.S.

• All providers in Arlington, TX
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; 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.