Organization Active NPI

All Dental

  • Dentist
  • Dallas, TX
National Provider Identifier
1669743282
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20873 Issued in TX
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

Updated by the provider on Jan 13, 2012

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
166977201MedicaidTX

Other names 1

  • All Dental P.A. Other name

National Provider Directory

National Provider Directory
Tax ID family
All Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "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.

Verify at the official NPI Registry.