NPIMap

Organization Active NPI

Del Rey Dental, PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1154786218
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28386 Issued in TX
Legal business name
DEL REY DENTAL, PLLC
Practice address
11525 Jupiter Rd
Suite 103
Dallas, TX 75218-2570
Phone
(714) 330-3665
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Andrew Tadros, DDSNPI 1184972978
Title
President
Phone
(714) 330-3665

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: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 28386 TX Primary

Addresses

Primary practice location

11525 Jupiter Rd
Suite 103
Dallas, TX 75218-2570

Mailing address

11525 Jupiter Rd
Suite 103
Dallas, TX 75218-2570
Phone (714) 330-3665

National Provider Directory

National Provider Directory

Locations

11525 Jupiter Rd
Ste 103
Dallas, TX 75218
Phone (469) 917-7444

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": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1154786218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 JUPITER RD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182570",
            "telephone_number": "714-330-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 JUPITER RD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752182570",
            "telephone_number": "714-330-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL REY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-330-3665",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28386",
            "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 Dec 16, 2015; 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.