Organization Active NPI

Turtle Creek Da, PLLC

Doing business as Turtle Creek Dental Associates

  • Dentist
  • Dallas, TX
National Provider Identifier
1164957155
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TURTLE CREEK DA, PLLC
Doing business as
Turtle Creek Dental Associates
Practice address
3131 Turtle Creek Blvd
Ste.1000
Dallas, TX 75219-5405
Phone
(214) 953-0906
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Matt Hale
Title
Authorized Representative
Phone
(214) 702-0720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3131 Turtle Creek Blvd
Ste.1000
Dallas, TX 75219-5405

Mailing address

15660 Dallas Pkwy
Ste. 925
Dallas, TX 75248-3348
Phone (214) 702-0720

Other names 1

  • Turtle Creek Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

3131 Turtle Creek Blvd
Ste 1000
Dallas, TX 75219
Phone (214) 740-4953

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": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1164957155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15660 DALLAS PKWY",
            "address_2": "STE. 925",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752483348",
            "telephone_number": "214-702-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 TURTLE CREEK BLVD",
            "address_2": "STE.1000",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752195405",
            "telephone_number": "214-953-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURTLE CREEK DA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "HALE",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "214-702-0720"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Turtle Creek Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 27, 2017; 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.