Organization Active NPI

Mesquite Dental Clinic PLLC

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1609411800
Registry record updated Nov 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MESQUITE DENTAL CLINIC PLLC
Practice address
2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688
Phone
(972) 279-4411
NPI assigned
Nov 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2019

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

Authorized official

Name
Michael Hamilton, DDS
Title
Owner
Phone
(972) 279-4411

Specialties & licenses 1

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

Addresses

Primary practice location

2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688

Mailing address

2411 N Galloway Ave Ste 128
Mesquite, TX 75150-7688
Phone (972) 279-4411

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mesquitedentalclinic.net

National Provider Directory

National Provider Directory

Locations

2411 N Galloway Ave
Ste 128
Mesquite, TX 75150
Phone (972) 279-4411

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": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1609411800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 N GALLOWAY AVE STE 128",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507688",
            "telephone_number": "972-279-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 N GALLOWAY AVE STE 128",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507688",
            "telephone_number": "972-279-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE DENTAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-279-4411",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mesquitedentalclinic.net",
            "affiliation": "N",
            "address_1": "2411 N Galloway Ave Ste 128",
            "city": "Mesquite",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751507688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.