Organization Active NPI

Ensenada Dental PLLC

  • Dentist
  • Arlington, TX
National Provider Identifier
1215554555
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ENSENADA DENTAL PLLC
Practice address
311 S Bowen Rd
Arlington, TX 76013-1255
Phone
(972) 292-3092
NPI assigned
Jul 2, 2020
Last updated
Jul 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

311 S Bowen Rd
Arlington, TX 76013-1255

Mailing address

1150 E Eldorado Pkwy Ste 100
Little Elm, TX 75068-5502

National Provider Directory

National Provider Directory

Locations

311 S Bowen Rd
Arlington, TX 76013
Phone (817) 241-0540

1150 E Eldorado Pkwy
Ste 100
Little Elm, TX 75068
Phone (972) 292-3092

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": "1593648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1215554555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 E ELDORADO PKWY STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131255",
            "telephone_number": "972-292-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENSENADA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-523-0420",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Jul 8, 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.