NPIMap

Organization Active NPI

Garland Dental Associates, Inc.

  • Dentist
  • Garland, TX
National Provider Identifier
1316001506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1977 Issued in TX
Legal business name
GARLAND DENTAL ASSOCIATES, INC.
Practice address
1213 W State St
Suite a
Garland, TX 75040-6159
Phone
(972) 272-3585
Fax
(972) 272-3589
NPI assigned
Dec 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Rodger D Bagby, D.D.S.
Title
President
Phone
(972) 272-3585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 1977 TX Primary

Addresses

Primary practice location

1213 W State St
Suite a
Garland, TX 75040-6159

Mailing address

1213 W State St
Suite a
Garland, TX 75040-6159
Phone (972) 272-3585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316001506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W STATE ST",
            "address_2": "SUITE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406159",
            "telephone_number": "972-272-3585",
            "fax_number": "972-272-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W STATE ST",
            "address_2": "SUITE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750406159",
            "telephone_number": "972-272-3585",
            "fax_number": "972-272-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND DENTAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGBY",
        "authorized_official_first_name": "RODGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-272-3585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "1977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.