Organization Active NPI

Pioneer Dental, P.a.

  • General Practice Dentistry
  • Arlington, TX
National Provider Identifier
1649368473
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PIONEER DENTAL, P.A.
Practice address
1250 E Pioneer Pkwy
Suite 200
Arlington, TX 76010-6422
Phone
(817) 265-6500
Fax
(817) 265-6508
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Authorized official

Name
Dr. Robert E. Tafel, D.D.S.
Title
President
Phone
(214) 420-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1250 E Pioneer Pkwy
Suite 200
Arlington, TX 76010-6422

Mailing address

PO Box 7325
Dallas, TX 75209-0325

Other identifiers 1

IdentifierTypeStateIssuer
184060501MedicaidTX

Other names 1

  • Bear Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1250 E Pioneer Pkwy
Ste 200
Arlington, TX 76010
Phone (817) 265-6500

Practitioners & affiliated clinicians

Practitioners 8

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": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1649368473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7325",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752090325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E PIONEER PKWY",
            "address_2": "SUITE 200",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106422",
            "telephone_number": "817-265-6500",
            "fax_number": "817-265-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "TAFEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-420-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184060501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.