NPIMap

Organization Active NPI

Pure Dental Specialist, PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1366074601
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PURE DENTAL SPECIALIST, PLLC
Practice address
3760 W Northwest Hwy
Dallas, TX 75220-4943
Phone
(214) 821-6468
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Field Harrison
Title
Owner
Phone
(214) 821-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3760 W Northwest Hwy
Dallas, TX 75220-4943

Mailing address

3201 W Airport Fwy Ste 102
Irving, TX 75062-5928
Phone (972) 893-8730

Other names 1

  • Love Field Pure Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berry Pure Family Dental8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3760 W Northwest Hwy
Dallas, TX 75220
Phone (214) 919-9409

NPI Registry JSON

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1366074601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W AIRPORT FWY STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625928",
            "telephone_number": "972-893-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3760 W NORTHWEST HWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752204943",
            "telephone_number": "214-821-6468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE DENTAL SPECIALIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "FIELD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-821-6468"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Field Pure Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 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.