NPIMap

Organization Active NPI

Elite Dental Associates - Dallas, P.C.

  • Prosthodontics
  • Dallas, TX
National Provider Identifier
1356576599
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
18994 Issued in TX
Legal business name
ELITE DENTAL ASSOCIATES - DALLAS, P.C.
Practice address
2410 McKinney Ave
Dallas, TX 75201-1937
Phone
(214) 220-2424
Fax
(214) 452-8237
NPI assigned
May 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Authorized official

Name
Dr. Andy C. Chang, DDS
Title
President/Dentist
Phone
(214) 220-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X 18994 TX Primary

Addresses

Primary practice location

2410 McKinney Ave
Dallas, TX 75201-1937

Mailing address

2410 McKinney Ave
Dallas, TX 75201-1937
Phone (214) 220-2424

National Provider Directory

National Provider Directory

Locations

2410 McKinney Ave
Dallas, TX 75201
Phone (214) 220-2424

NPI Registry JSON

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242604800000",
    "number": "1356576599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011937",
            "telephone_number": "214-220-2424",
            "fax_number": "214-452-8237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 MCKINNEY AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752011937",
            "telephone_number": "214-220-2424",
            "fax_number": "214-452-8237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DENTAL ASSOCIATES - DALLAS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-18",
        "last_updated": "2009-05-18",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "ANDY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "214-220-2424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "18994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.