NPIMap

Organization Active NPI

Dental Visions, P.a.

  • General Practice Dentistry
  • Burleson, TX
National Provider Identifier
1285762575
Registry record updated Feb 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13143 Issued in TX
Legal business name
DENTAL VISIONS, P.A.
Practice address
312 E Renfro St
#204
Burleson, TX 76028-3947
Phone
(817) 295-7116
Fax
(817) 295-1404
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2017

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

Authorized official

Name
Dr. Steven R Tate, DDSNPI 1043412372
Title
Treasurer
Phone
(817) 295-7116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 13143 TX Primary

Addresses

Primary practice location

312 E Renfro St
#204
Burleson, TX 76028-3947

Mailing address

312 E Renfro St
#204
Burleson, TX 76028-3947
Phone (817) 295-7116

National Provider Directory

National Provider Directory

Locations

312 E Renfro St
Ste 204
Burleson, TX 76028
Phone (817) 295-7116

Practitioners & affiliated clinicians

Practitioners 3

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": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487721600000",
    "number": "1285762575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "#204",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-7116",
            "fax_number": "817-295-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E RENFRO ST",
            "address_2": "#204",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760283947",
            "telephone_number": "817-295-7116",
            "fax_number": "817-295-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL VISIONS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-02-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "817-295-7116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "13143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2017; 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.