NPIMap

Organization Active NPI

Arlington Modern Dentistry PC

  • Dentist
  • Arlington, TX
National Provider Identifier
1255097176
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ARLINGTON MODERN DENTISTRY PC
Practice address
4407 Little Rd Ste 600
Arlington, TX 76016-5626
Phone
(682) 273-0025
Fax
(682) 276-2735
NPI assigned
Nov 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Dr. Sabrina Chavez-Keller, DDS
Title
Owner Dentist
Phone
(682) 273-0025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

4407 Little Rd Ste 600
Arlington, TX 76016-5626

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • ARLINGTON MODERN DENTISTRY Doing business as

National Provider Directory

National Provider Directory

Locations

4407 Little Rd
Ste 600
Arlington, TX 76016
Phone (682) 273-0025

Practitioners & affiliated clinicians

Practitioners 4

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": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1255097176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 LITTLE RD STE 600",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760165626",
            "telephone_number": "682-273-0025",
            "fax_number": "682-276-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON MODERN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ-KELLER",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "682-273-0025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARLINGTON MODERN DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2021; 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.