NPIMap

Organization Active NPI

Brackets Dental PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Carrollton, TX
National Provider Identifier
1578999850
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRACKETS DENTAL PLLC
Practice address
1103 S Josey LN
Suite 707
Carrollton, TX 75006-7680
Phone
(972) 416-5755
Fax
(972) 820-6089
NPI assigned
Sep 19, 2013
Last updated
Oct 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Authorized official

Name
Sarabjit Khassa
Title
Manager
Phone
(972) 512-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

1103 S Josey LN
Suite 707
Carrollton, TX 75006-7680

Mailing address

15110 Dallas Pkwy
Suite 470
Dallas, TX 75248-4635
Phone (972) 512-0285

National Provider Directory

National Provider Directory
Tax ID family
Brackets Dental PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1578999850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S JOSEY LN",
            "address_2": "SUITE 707",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750067680",
            "telephone_number": "972-416-5755",
            "fax_number": "972-820-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKETS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-512-0285"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.