Active NPI
Small Town Dental
- General Practice Dentistry
- Irving, TX
National Provider Identifier
1366614182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18083
- 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, 2008
- Organization subpart
- Yes
- Parent organization
- ANTHONY B. HENEGAR, DDS, PA
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- General Practice Dentistry
- Irving, TX
- NPI 1154531580
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.