NPIMap

Organization Active NPI

Ark Dental, P.C.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1497016463
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18012 Issued in TX
Legal business name
ARK DENTAL, P.C.
Practice address
9777 Ferguson Rd
101
Dallas, TX 75228-3838
Phone
(214) 320-9444
Fax
(214) 320-9555
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. John Han Lee, D.D.S.NPI 1033252986
Title
President
Phone
(214) 320-9444

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18012 TX Primary

Addresses

Primary practice location

9777 Ferguson Rd
101
Dallas, TX 75228-3838

Mailing address

9777 Ferguson Rd
101
Dallas, TX 75228-3838
Phone (214) 320-9444

Other identifiers 3

IdentifierTypeStateIssuer
B18012-2OtherTXCHIP
145820001MedicaidTX
145819201MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Ark Dental P C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1497016463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 FERGUSON RD",
            "address_2": "101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283838",
            "telephone_number": "214-320-9444",
            "fax_number": "214-320-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 FERGUSON RD",
            "address_2": "101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752283838",
            "telephone_number": "214-320-9444",
            "fax_number": "214-320-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARK DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-320-9444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIP",
            "identifier": "B18012-2",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145820001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145819201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.