Organization Active NPI

Glow Dental and Orthodontics PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1144836453
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GLOW DENTAL AND ORTHODONTICS PLLC
Practice address
2572 Gus Thomasson Rd
Dallas, TX 75228-3017
Phone
(214) 699-5000
NPI assigned
Sep 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Authorized official

Name
Rahul Joshi, DDS
Title
Manager
Phone
(480) 747-5129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2572 Gus Thomasson Rd
Dallas, TX 75228-3017

Mailing address

1150 Empire Central PL Ste 112
Dallas, TX 75247-4312

National Provider Directory

National Provider Directory

Locations

1150 Empire Central Pl
Ste 112
Dallas, TX 75247

NPI Registry JSON

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

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1144836453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 EMPIRE CENTRAL PL STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752474312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283017",
            "telephone_number": "214-699-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW DENTAL AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-747-5129",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "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 Sep 22, 2020; 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.