Mi Family Dental Care PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32194 Issued in TX

Legal business name

MI FAMILY DENTAL CARE PLLC

Practice address

1017 Fort Worth St Ste 100
Grand Prairie, TX 75050-5404

Phone

(214) 412-2595

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ibraiz Quamar

Title

Managing Director

Phone

(214) 412-2595

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1215414271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 FORT WORTH ST STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 FORT WORTH ST STE 100",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750505404",
            "telephone_number": "214-412-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI FAMILY DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "QUAMAR",
        "authorized_official_first_name": "IBRAIZ",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "214-412-2595",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.