Organization Active NPI

Mesquite Crossing Dental, PA

Doing business as Bear Creek Family Dentistry

  • General Practice Dentistry
  • Mesquite, TX
National Provider Identifier
1699224956
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MESQUITE CROSSING DENTAL, PA
Doing business as
Bear Creek Family Dentistry
Practice address
2110 N Galloway Ave
Suite 104-105
Mesquite, TX 75150-5713
Phone
(214) 420-7000
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Authorized official

Name
Dr. Robert E Tafel, D.D.S.
Title
Owner
Phone
(214) 420-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2110 N Galloway Ave
Suite 104-105
Mesquite, TX 75150-5713

Mailing address

PO Box 541448
Dallas, TX 75354-1448

Other names 1

  • Bear Creek Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

2110 N Galloway Ave
Ste 104105
Mesquite, TX 75150
Phone (214) 420-7000

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475020800000",
    "number": "1699224956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 541448",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753541448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N GALLOWAY AVE",
            "address_2": "SUITE 104-105",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751505713",
            "telephone_number": "214-420-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE CROSSING DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2016-09-28",
        "status": "A",
        "authorized_official_last_name": "TAFEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-420-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; 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.