NPIMap

Organization Active NPI

Grace Dental

  • Clinic/Center
  • Irving, TX
National Provider Identifier
1700288982
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
30476 Issued in TX
Legal business name
GRACE DENTAL
Practice address
1417 N Belt Line Rd
Irving, TX 75061-1501
Phone
(972) 870-1200
NPI assigned
Sep 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Authorized official

Name
Sammy LimNPI 1508024712
Title
Dentist
Phone
(972) 870-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 30476 TX Primary

Addresses

Primary practice location

1417 N Belt Line Rd
Irving, TX 75061-1501

Mailing address

1417 N Belt Line Rd
Irving, TX 75061-1501

National Provider Directory

National Provider Directory

Locations

1417 N Belt Line Rd
Irving, TX 75061
Phone (972) 870-1200

Practitioners & affiliated clinicians

Practitioners 3

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": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411084800000",
    "number": "1700288982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750611501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750611501",
            "telephone_number": "972-870-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-870-1200"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "30476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.