Individual provider Active NPI

Angela Masters, DDS

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1659075398
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39608 Issued in TX
Practice address
2630 S Carrier Pkwy Ste B
Grand Prairie, TX 75052-5000
Phone
(972) 641-9888
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 39608 TX Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2630 S Carrier Pkwy Ste B
Grand Prairie, TX 75052-5000

Mailing address

2630 S Carrier Pkwy Ste B
Grand Prairie, TX 75052-5000

Other practice location 1

4407 Little Rd Ste 600
Arlington, TX 76016-5626
Phone (682) 273-0025

Other identifiers 1

IdentifierTypeStateIssuer
1043169956OtherTXNPI2

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231023000046 TX Order and Referring Only - DentistPractitioner - Dentist 5294181640

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39608TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Masters Dental Services General Practice Current Accepting new patients
Arlington Modern Dentistry PC PastSince Nov 21, 2021 Accepting new patients

Locations

2630 S Carrier Pkwy
Ste B
Grand Prairie, TX 75052
Phone (972) 641-9888

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1659075398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY STE B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY STE B",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525000",
            "telephone_number": "972-641-9888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4407 Little Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760165626",
            "country_code": "US",
            "telephone_number": "682-273-0025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "ANGELA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39608",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI2",
            "identifier": "1043169956",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

Verify at the official NPI Registry.