NPIMap

Organization Active NPI

Heartland Dental Care of TX, PC

  • General Practice Dentistry
  • Bedford, TX
National Provider Identifier
1598037020
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF TX, PC
Practice address
2307 Central Dr
Bedford, TX 76021-7748
Phone
(817) 571-1667
Fax
(817) 887-1212
NPI assigned
Jan 30, 2012
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF TX, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Kim Wilson
Title
Insurance/Credentialing
Phone
(217) 540-5100

Specialties & licenses 1

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

Addresses

Primary practice location

2307 Central Dr
Bedford, TX 76021-7748

Mailing address

2307 Central Dr
Bedford, TX 76021-7748
Phone (817) 571-1667

Other names 1

  • Gemma Tanglao Dalton, D.D.S. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Health Associates of TX PC148 organizations share this tax ID, including this one
Part of
Dental Health Associates of TX PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2307 Central Dr
Bedford, TX 76021
Phone (817) 571-1667

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1598037020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760217748",
            "telephone_number": "817-571-1667",
            "fax_number": "817-887-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 CENTRAL DR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760217748",
            "telephone_number": "817-571-1667",
            "fax_number": "817-887-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF TX, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF TX, PC",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "INSURANCE/CREDENTIALING",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gemma Tanglao Dalton, D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.