Organization Active NPI

Center of Endodontics, Periodontics and Implantology, PA

  • Periodontics
  • Allen, TX
National Provider Identifier
1619828639
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
CENTER OF ENDODONTICS, PERIODONTICS AND IMPLANTOLOGY, PA
Practice address
915 W Exchange Pkwy Ste 280
Allen, TX 75013-7031
Phone
(214) 509-9011
Fax
(866) 360-6153
NPI assigned
Feb 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Dr. Fatima Robertson, DDSNPI 1780705269
Title
Owner
Phone
(214) 509-9011

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

915 W Exchange Pkwy Ste 280
Allen, TX 75013-7031

Mailing address

915 W Exchange Pkwy Ste 280
Allen, TX 75013-7031
Phone (214) 509-9011

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1770249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1619828639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 280",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137031",
            "telephone_number": "214-509-9011",
            "fax_number": "866-360-6153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 W EXCHANGE PKWY STE 280",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750137031",
            "telephone_number": "214-509-9011",
            "fax_number": "866-360-6153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF ENDODONTICS, PERIODONTICS AND IMPLANTOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-05",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-509-9011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.