Organization Active NPI

Pure Dental Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1144700394
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
PURE DENTAL ORAL SURGERY PLLC
Practice address
5321 E Mockingbird LN Ste 210
Dallas, TX 75206-0915
Phone
(214) 550-5051
Fax
(214) 550-5051
NPI assigned
Aug 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Authorized official

Name
Field Harrison
Title
Ceo/Owner
Phone
(214) 550-5051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193200000X MULTI-SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

5321 E Mockingbird LN Ste 210
Dallas, TX 75206-0915

Mailing address

3201 W Airport Fwy Ste 102
Irving, TX 75062-5928
Phone (972) 893-8730

Other practice location 1

6501 Dalrock Rd Ste 108
Rowlett, TX 75089-2046
Phone (214) 501-5464

Other practice location 2

2851 Plano Pkwy Ste 220
The Colony, TX 75056-6630
Phone (469) 619-1938

Other practice location 3

3760 W Northwest Hwy
Dallas, TX 75220-4943
Phone (214) 919-9409

Other practice location 4

3901 West Fwy Ste 113
Fort Worth, TX 76107-5654
Phone (817) 601-7474

Other practice location 5

4251 E Renner Rd Ste 126
Richardson, TX 75082-2753
Phone (972) 454-4450

National Provider Directory

National Provider Directory
Tax ID family
Houston Pure Oral Surgery2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4251 E Renner Rd
Ste 126
Richardson, TX 75082
Phone (972) 231-6300

NPI Registry JSON

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1144700394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FWY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625928",
            "telephone_number": "972-893-8730",
            "fax_number": "972-893-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 E MOCKINGBIRD LN STE 210",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752060915",
            "telephone_number": "214-550-5051",
            "fax_number": "214-550-5051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6501 Dalrock Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750892046",
            "country_code": "US",
            "telephone_number": "214-501-5464",
            "fax_number": "214-501-5464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2851 Plano Pkwy Ste 220",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750566630",
            "country_code": "US",
            "telephone_number": "469-619-1938",
            "fax_number": "972-893-1898",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3760 W Northwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752204943",
            "country_code": "US",
            "telephone_number": "214-919-9409",
            "fax_number": "214-919-9660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 West Fwy Ste 113",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761075654",
            "country_code": "US",
            "telephone_number": "817-601-7474",
            "fax_number": "817-502-2061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4251 E Renner Rd Ste 126",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750822753",
            "country_code": "US",
            "telephone_number": "972-454-4450",
            "fax_number": "972-842-9449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE DENTAL ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "214-550-5051"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

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