Organization Active NPI

Daniel Douglas Dentistry PLLC

  • Dental Clinic/Center
  • Rockwall, TX
National Provider Identifier
1487489217
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DANIEL DOUGLAS DENTISTRY PLLC
Practice address
822 Steger Towne Rd
Rockwall, TX 75032-5658
Phone
(972) 771-9559
NPI assigned
Sep 3, 2024
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Authorized official

Name
Dr. Daniel Keith Douglas, DDSNPI 1174273213
Title
Owner Doctor
Phone
(936) 776-1063

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

822 Steger Towne Rd
Rockwall, TX 75032-5658

Mailing address

822 Steger Towne Rd
Rockwall, TX 75032-5658
Phone (972) 771-9559

National Provider Directory

National Provider Directory

Locations

822 Steger Towne Rd
Rockwall, TX 75032
Phone (972) 771-9559

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1487489217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 STEGER TOWNE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325658",
            "telephone_number": "972-771-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 STEGER TOWNE RD",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750325658",
            "telephone_number": "972-771-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DOUGLAS DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "936-776-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.