Grand Prairie Marvel Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GRAND PRAIRIE MARVEL DENTAL PLLC

Practice address

5020 S Hwy 360
Suite 200
Grand Prairie, TX 75052

Phone

(817) 933-3883

NPI assigned

Jan 11, 2018

Last updated

Jan 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jay OzaNPI 1730434036

Title

Dentist

Phone

(201) 744-0760

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Jay N Oza, D.D.S.

  • Dentist
  • Stamford, CT
  • NPI 1730434036
  Authorized official Same address or phone

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1629586797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 CABRILLO LN",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760634117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 S HWY 360",
            "address_2": "SUITE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "817-933-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PRAIRIE MARVEL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "OZA",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "201-744-0760"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "28081",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Grand Prairie Advanced Eyecare Inc (Advanced Eyecare)
• Grand Prairie Desai Dental PLLC
• Grand Prairie Dialysis Center LLC
• Grand Prairie Family Dental Group (Grand Prairie Family Dental)
• Grand Prairie Isd
• Grand Prairie Medical Center LLC
• Grand Prairie Modern Dentistry, PC (Grand Prairie Modern Dentistry)
• Grand Prairie Physician Group LLC (Grand Prairie Physicians Group)
• Grand Prairie Professional Group, P. a.
• Grand Prairie Urgent Care PLLC

• Dental Clinic/Center in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; 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.