Central Park Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23673 Issued in TX

Legal business name

CENTRAL PARK DENTAL

Practice address

3101 S. Center St
Suite #151
Arlington, TX 76014

Phone

(817) 466-1200

Fax

(817) 466-1201

NPI assigned

Oct 27, 2011

Last updated

Oct 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kori D Hardaway, DDS

Title

Dentist

Phone

(817) 466-1200

Specialties & licenses 1

Addresses

Tax ID family

Central Park Dental2 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.

• Central Park Dental

  • Dentist
  • Arlington, TX
  • NPI 1992129449
  NPD tax ID

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1528344173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 S. CENTER ST.",
            "address_2": "SUITE #151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-466-1200",
            "fax_number": "817-466-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 S. CENTER ST",
            "address_2": "SUITE #151",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76014",
            "telephone_number": "817-466-1200",
            "fax_number": "817-466-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL PARK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "HARDAWAY",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-466-1200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Therapeutic Change, LTD
• Center for Theraputic Change
• Center to Rise
• Center to Rise Wellness Spa Studio
• Centered, PLLC
• Central Park Dental
• Central Park Ear Nose and Throat LLP
• Central Park Ear Nose and Throat, LLP Fort Worth
• Central Park Ear Nose and Throat, LLP-Mansfield
• Central Park Surgery Center, LLC (Central Park Surgery Center)

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.