Toothhq Dental Specialists Grapevine PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

TOOTHHQ DENTAL SPECIALISTS GRAPEVINE PLLC

Practice address

3801 William D Tate Ave Ste 100
Grapevine, TX 76051-8755

Phone

(214) 731-0123

NPI assigned

Nov 12, 2019

Organization subpart

No

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

Authorized official

Name

Chad Hendricks

Title

Credentialing

Phone

(612) 859-0444

Specialties & licenses 1

Addresses

Other names 1

• ToothHQ Dental Specialists Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kumar T. Vadivel, DDS, FDS RCS, MS

  • Periodontics
  • Carrollton, TX
  • NPI 1356469449
  NPD (past)

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1346885456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518755",
            "telephone_number": "214-731-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WILLIAM D TATE AVE STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518755",
            "telephone_number": "214-731-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHHQ DENTAL SPECIALISTS GRAPEVINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HENDRICKS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "612-859-0444"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ToothHQ Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Tobolka
• Today Dental of Grapevine PLLC
• Todd Gjerdevig
• Loretta B Tolliver, ED.D.
• John Tong, MD
• Domonique Torbert, PSY.D.
• Total Anesthesia Care, PLLC
• Total Point ER Grapevine LLC
• Touchless Colon Cleansing & Wellness
• Chrisana Calandro Townley, MS, BCBA, LBA

• Periodontics in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Periodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.