NPIMap

Organization Active NPI

Dentacare Dental of Collins PA

  • Dentist
  • Arlington, TX
National Provider Identifier
1275972382
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27164 Issued in TX
Legal business name
DENTACARE DENTAL OF COLLINS PA
Practice address
2440 S Collins Street
Suite #140
Arlington, TX 76014
Phone
(817) 459-2501
NPI assigned
Jun 21, 2013
Last updated
Jun 21, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Ms. Aleeahna Phan, DMDNPI 1437437282
Title
Dentist
Phone
(954) 654-4694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27164 TX Primary

Addresses

Primary practice location

2440 S Collins Street
Suite #140
Arlington, TX 76014

Mailing address

2440 S Collins Street
Suite #140
Arlington, TX 76014
Phone (817) 459-2501

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1275972382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 S COLLINS STREET",
            "address_2": "SUITE #140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-459-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 S COLLINS STREET",
            "address_2": "SUITE #140",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-459-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTACARE DENTAL OF COLLINS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "ALEEAHNA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-654-4694",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 21, 2013; 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.