Organization Active NPI

Buck Molina LLC

Doing business as Buck Dental

  • Dentist
  • Dallas, TX
National Provider Identifier
1619369675
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27850 Issued in TX
Legal business name
BUCK MOLINA LLC
Doing business as
Buck Dental
Practice address
4245 N Central Expy
#400
Dallas, TX 75205-4581
Phone
(214) 522-7870
NPI assigned
Feb 28, 2015
Last updated
Feb 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Authorized official

Name
Antonio Molina, DDS
Title
President
Phone
(214) 522-7870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27850 TX Primary

Addresses

Primary practice location

4245 N Central Expy
#400
Dallas, TX 75205-4581

Mailing address

4245 N Central Expy
#400
Dallas, TX 75205-4581
Phone (214) 522-7870

Other names 1

  • Buck Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4245 N Central Expy
Ste 400
Dallas, TX 75205
Phone (214) 522-7870

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425081600000",
    "number": "1619369675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY",
            "address_2": "#400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054581",
            "telephone_number": "214-522-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4245 N CENTRAL EXPY",
            "address_2": "#400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752054581",
            "telephone_number": "214-522-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCK MOLINA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-522-7870",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buck Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.