NPIMap

Organization Active NPI

Uptown Dental Solutions

  • Dental Clinic/Center
  • Rockwall, TX
National Provider Identifier
1639574064
Registry record updated Oct 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
29058 Issued in TX
Legal business name
UPTOWN DENTAL SOLUTIONS
Practice address
6617 Heritage Pkwy Ste 120
Rockwall, TX 75087-8750
Phone
(972) 412-0014
NPI assigned
Oct 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2014

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

Authorized official

Name
Rashid Beirute-Prada, DDSNPI 1326394982
Title
Owner
Phone
(972) 412-0014

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
Dental Clinic/Center 261QD0000X 15087 TX
Dental Clinic/Center 261QD0000X 29058 TX Primary

Addresses

Primary practice location

6617 Heritage Pkwy Ste 120
Rockwall, TX 75087-8750

Mailing address

6617 Heritage Pkwy Ste 120
Rockwall, TX 75087-8750
Phone (972) 412-0014

Other names 1

  • Lakeside Dental Solutions Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414454400000",
    "number": "1639574064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6617 HERITAGE PKWY STE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878750",
            "telephone_number": "972-412-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6617 HERITAGE PKWY STE 120",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750878750",
            "telephone_number": "972-412-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPTOWN DENTAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-10-28",
        "status": "A",
        "authorized_official_last_name": "BEIRUTE-PRADA",
        "authorized_official_first_name": "RASHID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-412-0014",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "15087",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "29058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeside Dental Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.