Organization Active NPI

Toothhq Dental Specialists Dallas PLLC

  • Periodontics
  • Dallas, TX
National Provider Identifier
1265077374
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
TOOTHHQ DENTAL SPECIALISTS DALLAS PLLC
Practice address
6333 E Mockingbird LN Ste 254
Dallas, TX 75214-2307
Phone
(214) 731-0123
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Chad Hendricks
Title
Credentialing
Phone
(612) 859-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

6333 E Mockingbird LN Ste 254
Dallas, TX 75214-2307

Mailing address

6333 E Mockingbird LN Ste 254
Dallas, TX 75214-2307
Phone (214) 731-0123

Other names 1

  • ToothHQ Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Locations

6333 E Mockingbird Ln
Ste 254
Dallas, TX 75214
Phone (214) 731-0123

Practitioners & affiliated clinicians

Practitioners 1

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1265077374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 254",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142307",
            "telephone_number": "214-731-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6333 E MOCKINGBIRD LN STE 254",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142307",
            "telephone_number": "214-731-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHHQ DENTAL SPECIALISTS DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ToothHQ Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 12, 2019; 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.