Organization Active NPI

Garland Pediatric Dental Clinic

  • Pediatric Dentistry
  • Garland, TX
National Provider Identifier
1467975797
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
24840 Issued in TX
Legal business name
GARLAND PEDIATRIC DENTAL CLINIC
Practice address
1501 Northwest Hwy
Garland, TX 75041-5231
Phone
(214) 507-2480
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Dr. Carla Sicilia Schmidl, DDSNPI 1548499577
Title
Owner
Phone
(214) 507-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 24840 TX Primary

Addresses

Primary practice location

1501 Northwest Hwy
Garland, TX 75041-5231

Mailing address

3458 Shenandoah St
Dallas, TX 75205-2220
Phone (214) 507-2480

National Provider Directory

National Provider Directory

Locations

1501 Northwest Hwy
Garland, TX 75041
Phone (214) 345-5580

Practitioners & affiliated clinicians

Practitioners 1

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": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1467975797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3458 SHENANDOAH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752052220",
            "telephone_number": "214-507-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NORTHWEST HWY",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750415231",
            "telephone_number": "214-507-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARLAND PEDIATRIC DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SCHMIDL",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "SICILIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-507-2480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "24840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.