NPIMap

Organization Active NPI

Columbia Dental, P.a.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1568614287
Registry record updated Oct 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
COLUMBIA DENTAL, P.A.
Practice address
4611 Columbia Ave Ste 104
Dallas, TX 75226-2304
Phone
(214) 827-8000
Fax
(214) 827-8001
NPI assigned
Oct 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2008

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

Authorized official

Name
NA Tran
Title
Owner
Phone
(214) 827-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4611 Columbia Ave Ste 104
Dallas, TX 75226-2304

Mailing address

4611 Columbia Ave Ste 104
Dallas, TX 75226-2304

National Provider Directory

National Provider Directory
Tax ID family
Columbia Dental PA2 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.

NPI Registry JSON

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1568614287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4611 COLUMBIA AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752262304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4611 COLUMBIA AVE STE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752262304",
            "telephone_number": "214-827-8000",
            "fax_number": "214-827-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "NA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-827-8000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 13, 2008; 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.