Allure Dental of Grapevine PA

Primary specialty

DentistTaxonomy code 122300000X

License

23570 Issued in TX

Legal business name

ALLURE DENTAL OF GRAPEVINE PA

Practice address

2805 E Grapevine Mills Cir
Suite 180
Grapevine, TX 76051-1210

Phone

(972) 355-8688

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Marcus Lastimado, DMD

Title

Dentist

Phone

(972) 355-8688

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1609111889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 E GRAPEVINE MILLS CIR",
            "address_2": "SUITE 180",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511210",
            "telephone_number": "972-355-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 E GRAPEVINE MILLS CIR",
            "address_2": "SUITE 180",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760511210",
            "telephone_number": "972-355-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLURE DENTAL OF GRAPEVINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "LASTIMADO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-355-8688",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Alvarez, MS, IBCLC

• Dentist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.