Archstone Dental-Azle PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

ARCHSTONE DENTAL-AZLE PLLC

Practice address

600 Boyd Rd Ste B
Azle, TX 76020-4860

Phone

(972) 869-3789

NPI assigned

Jul 18, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Pu

Title

VP of Finance

Phone

(972) 869-3789

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1427401116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LACY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BOYD RD STE B",
            "city": "AZLE",
            "state": "TX",
            "postal_code": "760204860",
            "telephone_number": "972-869-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHSTONE DENTAL-AZLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "PU",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmara Anyino Alozie, RPH
• Kristi Alverson, FNP-C
• Lindsey Elaine Ames
• Kathleen C. Anderson, SLPCCC
• Erika Anglemyre, OTR
• Dorothy Arrington, LPC
• Omair Atiq, MD
• Az Health Systems LLC (TrophyRx Pharmacy)
• Azle 611 ER Physicians PLLC
• Azle Chiropractic Clinic PC

• Dentist in Azle, TX
• Providers in Azle, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.