Organization Active NPI

Bryan Place Dental P.C.

  • Dentist
  • Dallas, TX
National Provider Identifier
1194904052
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRYAN PLACE DENTAL P.C.
Practice address
4801 Bryan St Ste 400
Dallas, TX 75204-8037
Phone
(469) 569-2368
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Mrs. Melissa Sigman
Title
Director of Operations
Phone
(972) 523-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4801 Bryan St Ste 400
Dallas, TX 75204-8037

Mailing address

4801 Bryan St Ste 400
Dallas, TX 75204-8037

National Provider Directory

National Provider Directory

Locations

4801 Bryan St
Ste 400
Dallas, TX 75204
Phone (214) 823-1181

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1194904052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 BRYAN ST STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRYAN ST STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048037",
            "telephone_number": "469-569-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN PLACE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-523-0420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "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 Oct 29, 2007; 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.