Pantego Dentist, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PANTEGO DENTIST, PLLC

Doing business as

A Smile Above

Practice address

301 S Bowen Rd
Arlington, TX 76013-1255

Phone

(817) 339-6140

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stevens, D.D.S.

Title

Owner

Phone

(281) 630-2193

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• A Smile Above Doing business as

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1447638077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S BOWEN RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131255",
            "telephone_number": "817-339-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANTEGO DENTIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-630-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM",
            "identifier": "1043393572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PLAN AND PROVIDER ENUMERATION SYSTEM",
            "identifier": "1700978079",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Smile Above",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.