South Arlington Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

29434 Issued in TX

Legal business name

SOUTH ARLINGTON DENTAL CARE

Practice address

2313 W Arkansas LN
#111
Pantego, TX 76013-6064

Phone

(817) 860-2222

NPI assigned

Dec 8, 2014

Organization subpart

No

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

Authorized official

Name

Beatriz Valdez

Title

Office Manager

Phone

(817) 860-2222

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Prachi D Shah DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Prachi D Shah DDS PC

  • General Practice Dentistry
  • Pantego, TX
  • NPI 1619372547
  NPD tax ID

Locations

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1316345341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 W ARKANSAS LN",
            "address_2": "#111",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760136064",
            "telephone_number": "817-860-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2313 W ARKANSAS LN",
            "address_2": "#111",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760136064",
            "telephone_number": "817-860-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ARLINGTON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "BEATRIZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-860-2222"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194964874",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Secret Garden Vibes LLC
• Sharon E Edwards OD PLLC
• Simplicity Counseling Center, LLC
• Sleep Systems
• Michael Earl Smith, R.PH
• Southwest Arlington Medical Clinic, P.a.
• Stational Care
• Rose Sulak
• Andrea Leigh Sullivan, LCSW
• Tender Heart Home Health, LLC

• Dentist in Pantego, TX
• Providers in Pantego, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.