Organization Active NPI

Meridian Dental

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1144523317
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23026 Issued in TX
Legal business name
MERIDIAN DENTAL
Practice address
4070 N Belt Line Rd
Suite 134
Irving, TX 75038-5028
Phone
(972) 255-3400
Fax
(972) 255-4300
NPI assigned
Dec 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Simi Paul, DDSNPI 1639393127
Title
President
Phone
(972) 255-3400

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 23026 TX Primary

Addresses

Primary practice location

4070 N Belt Line Rd
Suite 134
Irving, TX 75038-5028

Mailing address

4070 N Belt Line Rd
Suite 134
Irving, TX 75038-5028
Phone (972) 255-3400

National Provider Directory

National Provider Directory

Locations

4070 N Belt Line Rd
Ste 134
Irving, TX 75038
Phone (972) 255-3400

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": "1291852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1144523317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 N BELT LINE RD",
            "address_2": "SUITE 134",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385028",
            "telephone_number": "972-255-3400",
            "fax_number": "972-255-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 N BELT LINE RD",
            "address_2": "SUITE 134",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750385028",
            "telephone_number": "972-255-3400",
            "fax_number": "972-255-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-09",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "SIMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-255-3400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.