Organization Active NPI

Rowlett Dental Assoc LLP

  • General Practice Dentistry
  • Rowlett, TX
National Provider Identifier
1467573410
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12557 Issued in TX
Legal business name
ROWLETT DENTAL ASSOC LLP
Practice address
4518 Rowlett Rd
Rowlett, TX 75088-5081
Phone
(972) 475-0301
Fax
(972) 463-3849
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Bradley Bay Danier, DDS
Title
General Partner
Phone
(972) 475-0301

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 12557 TX Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 16705 TX
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 17226 TX

Addresses

Primary practice location

4518 Rowlett Rd
Rowlett, TX 75088-5081

Mailing address

PO Box 1490
Rowlett, TX 75030-1490
Phone (972) 475-0301

National Provider Directory

National Provider Directory

Locations

4518 Rowlett Rd
Rowlett, TX 75088
Phone (469) 299-8462

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467573410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1490",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750301490",
            "telephone_number": "972-475-0301",
            "fax_number": "972-463-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 ROWLETT RD",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750885081",
            "telephone_number": "972-475-0301",
            "fax_number": "972-463-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROWLETT DENTAL ASSOC LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DANIER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "BAY",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "972-475-0301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12557",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16705",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowlett, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.