NPIMap

Organization Active NPI

Dan Alineum - Grand Prairie PLLC

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1407463771
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAN ALINEUM - GRAND PRAIRIE PLLC
Practice address
3154 S State Highway 161 Ste 640
Grand Prairie, TX 75052-7687
Phone
(972) 890-0718
NPI assigned
Sep 30, 2020
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Anum Ali
Title
Owner
Phone
(972) 890-0718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3154 S State Highway 161 Ste 640
Grand Prairie, TX 75052-7687

Mailing address

PO Box 70887
Cleveland, OH 44190-0887

National Provider Directory

National Provider Directory

Locations

3154 S Highway 161
Ste 640
Grand Prairie, TX 75052
Phone (972) 890-0718

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1407463771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70887",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441900887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 S STATE HIGHWAY 161 STE 640",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527687",
            "telephone_number": "972-890-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAN ALINEUM - GRAND PRAIRIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-30",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ANUM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-890-0718"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.