NPIMap

Organization Active NPI

I-20 Oral Surgery PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Arlington, TX
National Provider Identifier
1184091340
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
I-20 ORAL SURGERY PLLC
Practice address
2200 W I 20
Suite 300
Arlington, TX 76017-1648
Phone
(817) 962-2318
Fax
(817) 468-7779
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Dr. Jed Hildebrand, D.D.S., M.S.D.NPI 1346307329
Title
Doctor
Phone
(817) 468-4141

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
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

2200 W I 20
Suite 300
Arlington, TX 76017-1648

Mailing address

2200 W I 20
Suite 300
Arlington, TX 76017-1648
Phone (817) 962-2318

National Provider Directory

National Provider Directory

Locations

2200 W Interstate 20
Ste 300
Arlington, TX 76017
Phone (817) 962-2318

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": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1184091340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W I 20",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171648",
            "telephone_number": "817-962-2318",
            "fax_number": "817-468-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W I 20",
            "address_2": "SUITE 300",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760171648",
            "telephone_number": "817-962-2318",
            "fax_number": "817-468-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-20 ORAL SURGERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "HILDEBRAND",
        "authorized_official_first_name": "JED",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-468-4141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.