NPIMap

Organization Active NPI

Next Level Dental Management, P.C.

Doing business as Prime Dental Grand Prairie

  • Dental Clinic/Center
  • Grand Prairie, TX
National Provider Identifier
1336628890
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
22204 Issued in TX
Legal business name
NEXT LEVEL DENTAL MANAGEMENT, P.C.
Doing business as
Prime Dental Grand Prairie
Practice address
2580 W Camp Wisdom Rd Ste 300
Grand Prairie, TX 75052-3091
Phone
(972) 522-0784
NPI assigned
Aug 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Authorized official

Name
An Quoc Le
Title
Co-Founder
Phone
(832) 244-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 22204 TX Primary

Addresses

Primary practice location

2580 W Camp Wisdom Rd Ste 300
Grand Prairie, TX 75052-3091

Mailing address

2221 Loring Dr
Allen, TX 75013-5840

Other names 1

  • Prime Dental Grand Prairie Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Next Level Dental Management PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533600000000",
    "number": "1336628890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LORING DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 W CAMP WISDOM RD STE 300",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750523091",
            "telephone_number": "972-522-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL DENTAL MANAGEMENT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "832-244-6157"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Dental Grand Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; 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.