NPIMap

Organization Active NPI

Silver Lake Dental

Doing business as Allen Dentistry

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1235486275
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27875 Issued in TX
Legal business name
SILVER LAKE DENTAL
Doing business as
Allen Dentistry
Practice address
551 W McDermott Dr
Allen, TX 75013-2705
Phone
(972) 359-9950
Fax
(972) 359-6715
NPI assigned
Aug 9, 2012
Last updated
Aug 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Authorized official

Name
Dr. Justin Hall Nylander, DMDNPI 1033396205
Title
Managing Member
Phone
(972) 359-9950

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27875 TX Primary

Addresses

Primary practice location

551 W McDermott Dr
Allen, TX 75013-2705

Mailing address

551 W McDermott Dr
Allen, TX 75013-2705
Phone (972) 359-9950

Other names 1

  • Allen Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1344470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1235486275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132705",
            "telephone_number": "972-359-9950",
            "fax_number": "972-359-6715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 W MCDERMOTT DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132705",
            "telephone_number": "972-359-9950",
            "fax_number": "972-359-6715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-09",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "NYLANDER",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "HALL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-359-9950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.