Organization Active NPI

Knox Village Dentistry and Orthodontics PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1235519406
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KNOX VILLAGE DENTISTRY AND ORTHODONTICS PLLC
Practice address
2325 N Fitzhugh Ave Ste 200
Dallas, TX 75204-3058
Phone
(214) 265-7771
Fax
(214) 559-7078
NPI assigned
Jun 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Melissa Sigman
Title
Director of Operations
Phone
(972) 292-3092

Specialties & licenses 1

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

Addresses

Primary practice location

2325 N Fitzhugh Ave Ste 200
Dallas, TX 75204-3058

Mailing address

2325 N Fitzhugh Ave Ste 200
Dallas, TX 75204-3058
Phone (214) 265-7771

National Provider Directory

National Provider Directory

Locations

2325 N Fitzhugh Ave
Ste 200
Dallas, TX 75204
Phone (214) 265-7771

3001 Knox St
Ste 300
Dallas, TX 75205
Phone (214) 219-1159

Practitioners & affiliated clinicians

Practitioners 2

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": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1235519406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 N FITZHUGH AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043058",
            "telephone_number": "214-265-7771",
            "fax_number": "214-559-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 N FITZHUGH AVE STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752043058",
            "telephone_number": "214-265-7771",
            "fax_number": "214-559-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX VILLAGE DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SIGMAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "972-292-3092"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "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 Dec 16, 2024; 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.