Dominion 1 Dental Dental Group PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

19153 Issued in TX

Legal business name

DOMINION 1 DENTAL DENTAL GROUP PLLC

Practice address

801 W Park Row Dr
Arlington, TX 76013-3904

Phone

(817) 784-7888

NPI assigned

Oct 25, 2016

Organization subpart

No

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

Authorized official

Name

Hanan Adel Elsaie, D.D.S.NPI 1598058950

Title

Owner

Phone

(214) 901-8319

Specialties & licenses 1

Addresses

Locations

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.

• Hanan Adel Elsaie, DDS

  • General Practice Dentistry
  • Frisco, TX
  • NPI 1598058950
  NPD (past) Authorized official

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

{
    "created_epoch": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477353600000",
    "number": "1710439815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DRIVE",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76013",
            "telephone_number": "817-784-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760133904",
            "telephone_number": "817-784-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION 1 DENTAL DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2016-10-25",
        "status": "A",
        "authorized_official_last_name": "ELSAIE",
        "authorized_official_first_name": "HANAN",
        "authorized_official_middle_name": "ADEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-901-8319",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "19153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellouise Mildred Dodge, RPH
• Marilyn Domangue, FNP-C
• Grisel Sulema Dominguez Gonzalez, APRN,FNP-C
• Joann Dominguez, PA-C
• Rocio Maribel Dominguez, M.S., CF-SLP
• Dominion 1 Dental Group PLLC
• Dominique Angels Home Care LLC
• Dominique Angels Home Care LLC
• Don Ringer DC (Smart Living Chiropractic and Rehab Center)
• Kevin Donahower

• Dental Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; 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.