Organization Active NPI

Legacy Dental of Grand Prairie PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1215685227
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEGACY DENTAL OF GRAND PRAIRIE PLLC
Practice address
902 W Pioneer Pkwy # 200
Grand Prairie, TX 75051-4737
Phone
(214) 444-9958
Fax
(214) 444-9959
NPI assigned
Mar 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Dr. Sohail Dar, DDS
Title
Owner
Phone
(214) 444-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

902 W Pioneer Pkwy # 200
Grand Prairie, TX 75051-4737

Mailing address

902 W Pioneer Pkwy Ste 200
Grand Prairie, TX 75051-4737
Phone (214) 444-9958

National Provider Directory

National Provider Directory

Locations

902 W Pioneer Pkwy
Ste 200
Grand Prairie, TX 75051
Phone (214) 444-9958

NPI Registry JSON

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1215685227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W PIONEER PKWY STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514737",
            "telephone_number": "214-444-9958",
            "fax_number": "214-444-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 W PIONEER PKWY # 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750514737",
            "telephone_number": "214-444-9958",
            "fax_number": "214-444-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY DENTAL OF GRAND PRAIRIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "DAR",
        "authorized_official_first_name": "SOHAIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-444-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.