RSVF Polk PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RSVF POLK PLLC

Doing business as

Blu Dental

Practice address

3939 S Polk St
Suite 310
Dallas, TX 75224-4427

Phone

(214) 493-1216

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Ara Fatourehchian

Title

Managing Member

Phone

(214) 493-1216

Specialties & licenses 1

Addresses

Other names 1

• Blu Dental Doing business as

Locations

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1255707345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 S POLK ST",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 S POLK ST",
            "address_2": "SUITE 310",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244427",
            "telephone_number": "214-493-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RSVF POLK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "FATOUREHCHIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-493-1216"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blu Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; 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.