Organization Active NPI

Pioneer Dentistry of the Woodlands, PLLC

  • Dental Clinic/Center
  • Arlington, TX
National Provider Identifier
1700350055
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PIONEER DENTISTRY OF THE WOODLANDS, PLLC
Practice address
965 W Lamar Blvd Ste 100
Arlington, TX 76012-2053
Phone
(214) 223-7662
NPI assigned
Jan 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Okey P Okechukwu, DDSNPI 1902156490
Title
Owner
Phone
(214) 223-7662

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

965 W Lamar Blvd Ste 100
Arlington, TX 76012-2053

Mailing address

965 W Lamar Blvd Ste 100
Arlington, TX 76012-2053
Phone (214) 223-7662

National Provider Directory

National Provider Directory

Locations

965 W Lamar Blvd
Ste 100
Arlington, TX 76012
Phone (214) 223-7662

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": "1547769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1700350055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 W LAMAR BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122053",
            "telephone_number": "214-223-7662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "965 W LAMAR BLVD STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760122053",
            "telephone_number": "214-223-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER DENTISTRY OF THE WOODLANDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-18",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "OKECHUKWU",
        "authorized_official_first_name": "OKEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-223-7662",
        "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 Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.