NPIMap

Organization Active NPI

Brackets Dental PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Balch Springs, TX
National Provider Identifier
1659707933
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRACKETS DENTAL PLLC
Practice address
3501 Shepherd Lane
Balch Springs, TX 75180
Phone
(972) 512-0285
Fax
(972) 239-0755
NPI assigned
Sep 19, 2013
Last updated
Sep 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Sarabjit Khassa
Title
Manager
Phone
(972) 512-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

3501 Shepherd Lane
Balch Springs, TX 75180

Mailing address

15110 Dallas Parkway
Suite 470
Dallas TX, TX 75248
Phone (972) 286-5711

National Provider Directory

National Provider Directory
Tax ID family
Brackets Dental PLLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1659707933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PARKWAY",
            "address_2": "SUITE 470",
            "city": "DALLAS TX",
            "state": "TX",
            "postal_code": "75248",
            "telephone_number": "972-286-5711",
            "fax_number": "972-557-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHEPHERD LANE",
            "city": "BALCH SPRINGS",
            "state": "TX",
            "postal_code": "75180",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACKETS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-512-0285"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Balch Springs, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.