Arch Dental of Debbie PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

ARCH DENTAL OF DEBBIE PA

Practice address

1450 Debbie Lane
Suite #130
Arlington, TX 76002

Phone

(817) 533-4755

Fax

(817) 533-4760

NPI assigned

Oct 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kim T Van, DMD

Title

Owner

Phone

(817) 533-4755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1346751732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 SEA HAWK ST",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750524147",
            "telephone_number": "954-591-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 DEBBIE LANE",
            "address_2": "SUITE #130",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76002",
            "telephone_number": "817-533-4755",
            "fax_number": "817-533-4760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCH DENTAL OF DEBBIE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "VAN",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-533-4755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Jeremiah Natividad Aranas
• Arbor Trinity Home Health LLC
• Arbrook Medical and Surgical Supply LLC
• Arbrook Senior Living Limited Liability Partnership
• Arc Therapy Services, LLC
• Arch Dental PLLC
• Archer Healthcare Management LLC
• Cullen John Archer, MD
• Lesli N Archibald
• Arden Courts of Arlington TX LLC

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.