NPIMap

Organization Active NPI

Grand Prairie Desai Dental PLLC

  • Dentist
  • Grand Prairie, TX
National Provider Identifier
1659980936
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
GRAND PRAIRIE DESAI DENTAL PLLC
Practice address
5030 S Hwy 360 Ste 200
Grand Prairie, TX 75052-8277
Phone
(469) 346-8828
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Heliben Desai, DMDNPI 1831508399
Title
Owner
Phone
(732) 330-6062

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5030 S Hwy 360 Ste 200
Grand Prairie, TX 75052-8277

Mailing address

7308 Reverchon Dr
Irving, TX 75063-1214
Phone (732) 330-6062

National Provider Directory

National Provider Directory

Locations

5030 S Highway 360
Ste 200
Grand Prairie, TX 75052
Phone (469) 346-8828

Practitioners & affiliated clinicians

Practitioners 1

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1659980936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7308 REVERCHON DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750631214",
            "telephone_number": "732-330-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S HWY 360 STE 200",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528277",
            "telephone_number": "469-346-8828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND PRAIRIE DESAI DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "HELIBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-330-6062",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.