Active NPI
Distinct Dental Studios
- General Practice Dentistry
- Lancaster, TX
National Provider Identifier
1568834711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25591
- Legal business name
- DISTINCT DENTAL STUDIOS
- Practice address
- 1370 W Beltline Rd
Ste 100
Lancaster, TX 75146 - Phone
- (972) 200-1589
- NPI assigned
- Oct 28, 2015
- Organization subpart
- Yes
- Parent organization
- DISTINCT DENTAL STUDIOS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leo Davis Jr., DDS
- Title
- General Dentist
- Phone
- (972) 200-1589
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 25591 | TX | Primary |
Addresses
Primary practice location
1370 W Beltline Rd
Ste 100
Lancaster, TX 75146
Mailing address
1370 W Beltline Rd
Ste 100
Lancaster, TX 75146
Phone (972) 200-1589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851602882 | Medicaid | TX |
National Provider Directory
National Provider Directory- Part of
- Distinct Dental Studios
Locations
1370 W Belt Line Rd
Ste 100
Lancaster, TX 75146
Phone (972) 200-1589
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Lancaster, TX
- NPI 1851602882
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462406400000",
"number": "1568834711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 W BELTLINE RD",
"address_2": "STE 100",
"city": "LANCASTER",
"state": "TX",
"postal_code": "75146",
"telephone_number": "972-200-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 W BELTLINE RD",
"address_2": "STE 100",
"city": "LANCASTER",
"state": "TX",
"postal_code": "75146",
"telephone_number": "972-200-1589"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DISTINCT DENTAL STUDIOS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DISTINCT DENTAL STUDIOS",
"enumeration_date": "2015-10-28",
"last_updated": "2016-05-05",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "LEO",
"authorized_official_title_or_position": "GENERAL DENTIST",
"authorized_official_telephone_number": "972-200-1589",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1851602882",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.