Organization Active NPI

Long Family Dental

  • General Practice Dentistry
  • Midlothian, TX
National Provider Identifier
1699375543
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LONG FAMILY DENTAL
Practice address
4470 E Highway 287 Ste 1200
Midlothian, TX 76065-7556
Phone
(972) 775-3192
Fax
(972) 775-3957
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
LONG FAMILY DENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Julie Ann Love
Title
Business Administrator
Phone
(972) 775-3192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4470 E Highway 287 Ste 1200
Midlothian, TX 76065-7556

Mailing address

4470 E Highway 287 Ste 1200
Midlothian, TX 76065-7556
Phone (972) 775-3192

National Provider Directory

National Provider Directory
Part of
Long Family Dental

Locations

4470 E Highway 287
Ste 1200
Midlothian, TX 76065
Phone (972) 775-3192

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1699375543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 E HIGHWAY 287 STE 1200",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657556",
            "telephone_number": "972-775-3192",
            "fax_number": "972-775-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 E HIGHWAY 287 STE 1200",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760657556",
            "telephone_number": "972-775-3192",
            "fax_number": "972-775-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG FAMILY DENTAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG FAMILY DENTAL",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "972-775-3192"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.