Juan Diaz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33365 Issued in TX

Practice address

8355 Walnut Hill LN Ste 240
Dallas, TX 75231-4200

Phone

(214) 691-2323

NPI assigned

Aug 12, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diaz Dental PLLC

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1205524451
  NPD Authorized official
• Arivera PLLC

  • Dentist
  • Dallas, TX
  • NPI 1750609566
  NPD (past)

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1548785397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314200",
            "telephone_number": "214-691-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 WALNUT HILL LN STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314200",
            "telephone_number": "214-691-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 W Illinois Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752331106",
            "country_code": "US",
            "telephone_number": "214-330-0222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "JUAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-12",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desiree Diaz, DPT
• Emmanuel Alex Diaz, MPH, CPH, RDN, LD
• Ethan Thomas Diaz
• Jacqueline Diaz
• Jose A Diaz, M.D.
• Lauren Diaz
• Liliana Diaz, PHD
• Maria Teresa Diaz, FNP-C
• Mary Ellen Diaz, F.N.P.
• Misty Annette Diaz

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, 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 Apr 13, 2023; 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.