NPIMap

Organization Active NPI

The Endodontic Group, Inc.

  • Endodontics
  • Dallas, TX
National Provider Identifier
1215040738
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
10970 Issued in TX
Legal business name
THE ENDODONTIC GROUP, INC.
Practice address
8201 Preston Rd
Ste 375
Dallas, TX 75225-6203
Phone
(214) 361-6669
Fax
(214) 361-1847
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Elizabeth Ann Oddson
Title
Practice Manager
Phone
(214) 361-6669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 10970 TX Primary

Addresses

Primary practice location

8201 Preston Rd
Ste 375
Dallas, TX 75225-6203

Mailing address

8201 Preston Rd
Ste 375
Dallas, TX 75225-6203
Phone (214) 361-6669

National Provider Directory

National Provider Directory

Locations

8201 Preston Rd
Ste 375
Dallas, TX 75225
Phone (214) 361-6669

Practitioners & affiliated clinicians

Practitioners 10

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": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215040738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD",
            "address_2": "STE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256203",
            "telephone_number": "214-361-6669",
            "fax_number": "214-361-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD",
            "address_2": "STE 375",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256203",
            "telephone_number": "214-361-6669",
            "fax_number": "214-361-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ENDODONTIC GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODDSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "214-361-6669",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "10970",
            "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 Aug 22, 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.