Organization Active NPI

Small Town Dental

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1366614182
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18083 Issued in TX
Legal business name
SMALL TOWN DENTAL
Practice address
2021 W Irving Blvd
Irving, TX 75061-4353
Phone
(972) 254-6000
Fax
(972) 254-6061
NPI assigned
Apr 1, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ANTHONY B. HENEGAR, DDS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Anthony B Henegar, DDS
Title
Owner/President
Phone
(972) 254-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 18083 TX Primary

Addresses

Primary practice location

2021 W Irving Blvd
Irving, TX 75061-4353

Mailing address

2021 W Irving Blvd
Irving, TX 75061-4353
Phone (972) 254-6000

National Provider Directory

National Provider Directory
Part of
Anthony B Henegar DDS PA

Locations

2021 W Irving Blvd
Irving, TX 75061
Phone (972) 254-6000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1366614182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614353",
            "telephone_number": "972-254-6000",
            "fax_number": "972-254-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750614353",
            "telephone_number": "972-254-6000",
            "fax_number": "972-254-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMALL TOWN DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANTHONY B. HENEGAR, DDS, PA",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "HENEGAR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "972-254-6000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.