Active NPI
All Dental
- Dentist
- Dallas, TX
National Provider Identifier
1669743282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 20873
- Legal business name
- ALL DENTAL
- Practice address
- 5365 Spring Valley Rd
#130
Dallas, TX 75254-3097 - Phone
- (972) 386-4999
- Fax
- (972) 386-4964
- NPI assigned
- Jan 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amir Izaddoust, D.D.S
- Title
- Owner
- Phone
- (972) 386-4999
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 20873 | TX | Primary |
Addresses
Primary practice location
5365 Spring Valley Rd
#130
Dallas, TX 75254-3097
Mailing address
5365 Spring Valley Rd
#130
Dallas, TX 75254-3097
Phone (972) 386-4999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 166977201 | Medicaid | TX |
Other names 1
- All Dental P.A.
National Provider Directory
National Provider Directory- Tax ID family
- All Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Dallas, TX
- NPI 1710359971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326412800000",
"number": "1669743282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5365 SPRING VALLEY RD",
"address_2": "#130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752543097",
"telephone_number": "972-386-4999",
"fax_number": "972-386-4964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5365 SPRING VALLEY RD",
"address_2": "#130",
"city": "DALLAS",
"state": "TX",
"postal_code": "752543097",
"telephone_number": "972-386-4999",
"fax_number": "972-386-4964"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALL DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A",
"authorized_official_last_name": "IZADDOUST",
"authorized_official_first_name": "AMIR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-386-4999",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "20873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "166977201",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "All Dental P.A.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.