Organization Active NPI

Melissa V. Rozas, DDS Dentistry for Infants, Children and Teens, P.a

  • Dental Clinic/Center
  • Coppell, TX
National Provider Identifier
1245462753
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
18278 Issued in TX
Legal business name
MELISSA V. ROZAS, DDS DENTISTRY FOR INFANTS, CHILDREN AND TEENS, P.A
Practice address
632 E Sandy Lake Rd
Coppell, TX 75019-3019
Phone
(972) 393-9779
Fax
(972) 393-9775
NPI assigned
Aug 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2009

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

Authorized official

Name
Melissa Rozas, D.D.S.
Title
Owner / Dentist
Phone
(972) 393-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 18278 TX Primary

Addresses

Primary practice location

632 E Sandy Lake Rd
Coppell, TX 75019-3019

Mailing address

632 E Sandy Lake Rd
Coppell, TX 75019-3019
Phone (972) 393-9779

Other identifiers 1

IdentifierTypeStateIssuer
111156904MedicaidTX

National Provider Directory

National Provider Directory

Locations

632 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 393-9779

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1245462753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-393-9779",
            "fax_number": "972-393-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 E SANDY LAKE RD",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750193019",
            "telephone_number": "972-393-9779",
            "fax_number": "972-393-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA V. ROZAS, DDS DENTISTRY FOR INFANTS, CHILDREN AND TEENS, P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "ROZAS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "972-393-9779",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "18278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111156904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.