NPIMap

Organization Active NPI

S&a Dental Partners PLLC

  • Dentist
  • Hurst, TX
National Provider Identifier
1366072993
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
S&A DENTAL PARTNERS PLLC
Practice address
1721 Cimarron TRL Ste 2
Hurst, TX 76054-3400
Phone
(817) 268-1112
Fax
(817) 330-8182
NPI assigned
Jan 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Authorized official

Name
Patty Hayes
Title
Office Administrator
Phone
(817) 268-1112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1721 Cimarron TRL Ste 2
Hurst, TX 76054-3400

Mailing address

1721 Cimarron TRL Ste 2
Hurst, TX 76054-3400
Phone (817) 268-1112

Other names 1

  • Cimarron Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1366072993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 CIMARRON TRL STE 2",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543400",
            "telephone_number": "817-268-1112",
            "fax_number": "817-330-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 CIMARRON TRL STE 2",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760543400",
            "telephone_number": "817-268-1112",
            "fax_number": "817-330-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S&A DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "817-268-1112"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cimarron Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.