Valley Ranch Dental Associates PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VALLEY RANCH DENTAL ASSOCIATES PLLC

Practice address

9901 Valley Ranch Pkwy E Ste 1020
Irving, TX 75063-7179

Phone

(972) 869-5966

NPI assigned

Aug 18, 2020

Organization subpart

No

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

Authorized official

Name

Tee Semera

Title

Credentialing Manager

Phone

(469) 556-9000

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1700498128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 W GREEN OAKS BLVD STE 103",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760138349",
            "telephone_number": "830-426-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 VALLEY RANCH PKWY E STE 1020",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750637179",
            "telephone_number": "972-869-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RANCH DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "SEMERA",
        "authorized_official_first_name": "TEE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "469-556-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@altiusdental.com",
            "affiliation": "N",
            "address_1": "9901 Valley Ranch Pkwy E Ste 1020",
            "city": "Irving",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750637179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashlyne Rene Valdovinos, LCSW
• Victoria Rose Valero
• Valiant Anesthesia PLLC
• Raymond A Vallera, M.D.
• Valley Ranch Deluxe Senior Living
• Valley Ranch Eye Care
• Valley Ranch Family Dentistry
• Valley Ranch Internal Medicine, PLLC
• Valley Ranch Pediatrics PA
• Alexandra Adriene Vallo, OTR

• General Practice Dentistry in Irving, TX
• Providers in Irving, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.