Organization Active NPI

Avant Dental, PLLC

  • Dental Clinic/Center
  • Garland, TX
National Provider Identifier
1346728896
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AVANT DENTAL, PLLC
Practice address
843 W Miller Rd
Garland, TX 75041
Phone
(972) 864-0222
Fax
(972) 864-0200
NPI assigned
Aug 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Dr. Josephine Yip, DDS
Title
Dentist
Phone
(972) 864-0222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

843 W Miller Rd
Garland, TX 75041

Mailing address

843 W Miller Rd
Garland, TX 75041-1811
Phone (972) 864-0222

Other identifiers 1

IdentifierTypeStateIssuer
2163990-03MedicaidTX

National Provider Directory

National Provider Directory

Locations

843 W Miller Rd
Garland, TX 75041
Phone (972) 864-0222

NPI Registry JSON

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1346728896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 W MILLER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750411811",
            "telephone_number": "972-864-0222",
            "fax_number": "972-864-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "843 W MILLER RD",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75041",
            "telephone_number": "972-864-0222",
            "fax_number": "972-864-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "YIP",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-864-0222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2163990-03",
            "state": "TX"
        }
    ],
    "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 Oct 23, 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.