Organization Active NPI

Texas Family Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1376969691
Registry record updated Mar 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16995 Issued in TX
Legal business name
TEXAS FAMILY DENTAL
Practice address
10233 E Northwest Hwy
Suite 510
Dallas, TX 75238-4407
Phone
(214) 340-4965
Fax
(214) 343-0154
NPI assigned
Mar 11, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2014

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

Authorized official

Name
Sandy L Rodriguez
Title
Asst. Office Manager
Phone
(214) 340-4965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16995 TX Primary

Addresses

Primary practice location

10233 E Northwest Hwy
Suite 510
Dallas, TX 75238-4407

Mailing address

10233 E Northwest Hwy
Suite 510
Dallas, TX 75238-4407
Phone (214) 340-4965

Other names 1

  • American Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10233 E Northwest Hwy
Ste 510
Dallas, TX 75238
Phone (214) 340-4965

Practitioners & affiliated clinicians

Practitioners 1

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": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394496000000",
    "number": "1376969691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10233 E NORTHWEST HWY",
            "address_2": "SUITE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384407",
            "telephone_number": "214-340-4965",
            "fax_number": "214-343-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10233 E NORTHWEST HWY",
            "address_2": "SUITE 510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752384407",
            "telephone_number": "214-340-4965",
            "fax_number": "214-343-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-11",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASST. OFFICE MANAGER",
        "authorized_official_telephone_number": "214-340-4965"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American 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 Mar 11, 2014; 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.