Dental ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DENTAL ASC, LLC

Practice address

2690 N Galloway Ave
Mesquite, TX 75150-4857

Phone

(972) 279-1200

NPI assigned

Aug 31, 2011

Organization subpart

No

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

Authorized official

Name

Craig Jacobs, D.P.M.

Title

Managing Member

Phone

(214) 263-6334

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Children 1St Grand Prairie, LLC

  • Ambulatory Surgical Clinic/Center
  • Grand Prairie, TX
  • NPI 1740561018
  NPPES parent name
• Children 1St Houston South, LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1871926428
  NPPES parent name
• Children 1St Houston West, LLC

  • Ambulatory Surgical Clinic/Center
  • Houston, TX
  • NPI 1821425430
  NPPES parent name

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1407137763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504857",
            "telephone_number": "972-279-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-263-6334",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Delgado, PT, DPT
• Mills Alexander Dell
• Oscar Deluna
• Joseph Demarte
• Dennis R. Askins
• Dental Expressions, P.C.
• Dental Group of Mesquite, PLLC
• Dental Zania - Mesquite PLLC
• Dentamici PLLC
• Dentist in Mesquite LLC

• Ambulatory Surgical Clinic/Center in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.