Organization Active NPI

Ideal Dental of Garland PLLC

  • Dentist
  • Garland, TX
National Provider Identifier
1477976223
Registry record updated Jan 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
IDEAL DENTAL OF GARLAND PLLC
Practice address
3121 N George Bush Fwy
Suite 113
Garland, TX 75040-2752
Phone
(469) 368-9889
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2014

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

Authorized official

Name
Dr. Rodney Alles, DDS
Title
Owner
Phone
(469) 368-9889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

3121 N George Bush Fwy
Suite 113
Garland, TX 75040-2752

Mailing address

3121 N George Bush Fwy
Suite 113
Garland, TX 75040-2752
Phone (469) 368-9889

National Provider Directory

National Provider Directory

Locations

3121 N President George Bush Hwy
Ste 113
Garland, TX 75040
Phone (469) 368-9889

Practitioners & affiliated clinicians

Practitioners 6

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": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391040000000",
    "number": "1477976223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N GEORGE BUSH FWY",
            "address_2": "SUITE 113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402752",
            "telephone_number": "469-368-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N GEORGE BUSH FWY",
            "address_2": "SUITE 113",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750402752",
            "telephone_number": "469-368-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF GARLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2014-01-30",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-368-9889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "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 Jan 30, 2014; 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.