Organization Active NPI

Highlands Dental PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1699351585
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HIGHLANDS DENTAL PLLC
Practice address
9850 Walnut Hill LN Ste 423
Dallas, TX 75238-2012
Phone
(469) 676-0041
NPI assigned
Mar 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Jordan Cornelio Luna, DDS
Title
Owner
Phone
(469) 676-0041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9850 Walnut Hill LN Ste 423
Dallas, TX 75238-2012

Mailing address

9850 Walnut Hill LN Ste 423
Dallas, TX 75238-2012
Phone (469) 676-0041

National Provider Directory

National Provider Directory

Locations

9850 Walnut Hill Ln
Ste 423
Dallas, TX 75238
Phone (469) 676-0041

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1699351585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 WALNUT HILL LN STE 423",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382012",
            "telephone_number": "469-676-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 WALNUT HILL LN STE 423",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382012",
            "telephone_number": "469-676-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "LUNA",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "CORNELIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-676-0041",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 22, 2021; 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.