Active NPI
Sarah Cantrell DDS PLLC
- Dental Clinic/Center
- Wylie, TX
National Provider Identifier
1447682547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 28065
- Legal business name
- SARAH CANTRELL DDS PLLC
- Practice address
- 465 Country Club Rd
104
Wylie, TX 75098-7136 - Phone
- (972) 442-9139
- Fax
- (972) 442-9061
- NPI assigned
- Jul 31, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Cantrell, D.D.S.
- Title
- Member
- Phone
- (972) 442-9139
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 28065 | TX | Primary |
| Dental Clinic/Center | 261QD0000X | 23948 | TX |
Addresses
Primary practice location
465 Country Club Rd
104
Wylie, TX 75098-7136
Mailing address
456 Country Club Rd
104
Wylie, TX 75098
Phone (972) 442-9139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114187895 | Other | TX | INDIVIDUAL NPI- SARAH CANTRELL DDS |
| 1538424163 | Other | TX | INDIVIDUAL NPI- JONATHAN CANTRELL DDS |
Other names 1
- Cantrell Family Dentistry
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375228800000",
"number": "1447682547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "456 COUNTRY CLUB RD",
"address_2": "104",
"city": "WYLIE",
"state": "TX",
"postal_code": "75098",
"telephone_number": "972-442-9139",
"fax_number": "972-442-9061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 COUNTRY CLUB RD",
"address_2": "104",
"city": "WYLIE",
"state": "TX",
"postal_code": "750987136",
"telephone_number": "972-442-9139",
"fax_number": "972-442-9061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARAH CANTRELL DDS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A",
"authorized_official_last_name": "CANTRELL",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "972-442-9139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "28065",
"primary": true
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TX",
"license": "23948",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI- SARAH CANTRELL DDS",
"identifier": "1114187895",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI- JONATHAN CANTRELL DDS",
"identifier": "1538424163",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cantrell Family Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wylie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.