Progressive Endodontics, P.a.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

16176 Issued in TX

Legal business name

PROGRESSIVE ENDODONTICS, P.A.

Practice address

4514 Cole Ave
Suire 930
Dallas, TX 75205-5412

Phone

(214) 528-4196

Fax

(214) 528-2615

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Kathleen R. Craig, D.D.S., M.S.

Title

President

Phone

(214) 528-4196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1366628539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE",
            "address_2": "SUIRE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055412",
            "telephone_number": "214-528-4196",
            "fax_number": "214-528-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 COLE AVE",
            "address_2": "SUIRE 930",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752055412",
            "telephone_number": "214-528-4196",
            "fax_number": "214-528-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE ENDODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-528-4196",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "16176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endodontics in Dallas, TX
• Providers in Dallas, TX by specialty
• Endodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.