Active NPI
Cherbie Orelus, DDS
- General Practice Dentistry
- Grand Prairie, TX
National Provider Identifier
1356071393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 38611
- Practice address
- 3450 S State Highway 161 Ste 200
Grand Prairie, TX 75052-7281 - Phone
- (972) 820-7214
- NPI assigned
- Jun 13, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 38611 | TX | Primary |
Addresses
Primary practice location
3450 S State Highway 161 Ste 200
Grand Prairie, TX 75052-7281
Mailing address
1012 Palmer LN
Desoto, TX 75115-0004
Phone (208) 570-1394
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Dental of Grand Prairie PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
3450 S Highway 161
Ste 200
Grand Prairie, TX 75052
Phone (972) 820-7214
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1356071393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 PALMER LN",
"city": "DESOTO",
"state": "TX",
"postal_code": "751150004",
"telephone_number": "208-570-1394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3450 S STATE HIGHWAY 161 STE 200",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750527281",
"telephone_number": "972-820-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORELUS",
"first_name": "CHERBIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "38611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.