Organization Active NPI

Affordable Dentist Near Me Grand Prairie, PLLC

Doing business as Affordable Dentist Near Me

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1134737919
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC
Doing business as
Affordable Dentist Near Me
Practice address
2501 W Interstate 20 Ste 100
Grand Prairie, TX 75052-3948
Phone
(817) 496-2389
NPI assigned
Jul 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Authorized official

Name
Nina Bartolomei, DDS
Title
Manager
Phone
(817) 810-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2501 W Interstate 20 Ste 100
Grand Prairie, TX 75052-3948

Mailing address

5416 Basswood Blvd
Fort Worth, TX 76137-4400
Phone (817) 656-1215

Other names 1

  • Affordable Dentist Near Me Doing business as

National Provider Directory

National Provider Directory

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": "1594944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1134737919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5416 BASSWOOD BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761374400",
            "telephone_number": "817-656-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W INTERSTATE 20 STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523948",
            "telephone_number": "817-496-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTIST NEAR ME GRAND PRAIRIE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-17",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BARTOLOMEI",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-810-6239",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Dentist Near Me",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.