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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
National Provider Directory
National Provider DirectoryPractitioners & 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
- Atinuke Taibat Adumatioge, RN
- Advanced Care & Home Support Inc
- Aedel Global Health Services LLC
- Afc Palliative and Hospice Care LLC
- Affinity Acute Care Home Health Services Inc
- Affordable Dentist Near Me PLLC
- Olubolanle Afolayan, PHARMD
- Babak Afshinnik, MD
- Agape Life Multicultural Services
- Folake Oyewunmi Agbalaya
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.