Organization Active NPI

Argyle Dental Associates, PA

  • Dental Clinic/Center
  • Argyle, TX
National Provider Identifier
1154727089
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
ARGYLE DENTAL ASSOCIATES, PA
Practice address
136 Old Town Blvd. N.
Ste 100
Argyle, TX 76226
Phone
(940) 464-6664
Fax
(940) 464-4535
NPI assigned
Nov 4, 2014
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Dr. Susan L Randall, DDSNPI 1669593364
Title
President/Owner
Phone
(940) 464-6664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

136 Old Town Blvd. N.
Ste 100
Argyle, TX 76226

Mailing address

136 Old Town Blvd. N.
Ste 100
Argyle, TX 76226
Phone (940) 464-6664

National Provider Directory

National Provider Directory

Locations

306 US Highway 377
Ste A
Argyle, TX 76226
Phone (940) 217-5906

136 Old Town Blvd N
Ste 100
Lantana, TX 76226
Phone (940) 464-6664

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1154727089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 OLD TOWN BLVD. N.",
            "address_2": "STE 100",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "76226",
            "telephone_number": "940-464-6664",
            "fax_number": "940-464-4535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 OLD TOWN BLVD. N.",
            "address_2": "STE 100",
            "city": "ARGYLE",
            "state": "TX",
            "postal_code": "76226",
            "telephone_number": "940-464-6664",
            "fax_number": "940-464-4535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARGYLE DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "940-464-6664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.