Organization Active NPI

Perla Dental of Terrell

  • General Practice Dentistry
  • Terrell, TX
National Provider Identifier
1619290392
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21330 Issued in TX
Legal business name
PERLA DENTAL OF TERRELL
Practice address
1880 W Moore Ave
Terrell, TX 75160-2350
Phone
(469) 387-3332
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Jayesha Hussain, DDS
Title
Owner
Phone
(469) 387-3332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21330 TX Primary

Addresses

Primary practice location

1880 W Moore Ave
Terrell, TX 75160-2350

Mailing address

1801 Lantana CT
Southlake, TX 76092-3571
Phone (469) 387-3332

National Provider Directory

National Provider Directory

Locations

1880 W Moore Ave
Terrell, TX 75160
Phone (469) 387-3332

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1619290392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LANTANA CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923571",
            "telephone_number": "469-387-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W MOORE AVE",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751602350",
            "telephone_number": "469-387-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERLA DENTAL OF TERRELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "JAYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-387-3332",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terrell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.