Organization Active NPI

David D McFadden, DMD PA

  • Prosthodontics
  • Dallas, TX
National Provider Identifier
1720672579
Registry record updated Feb 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
DAVID D MCFADDEN, DMD PA
Practice address
5120 W Lovers LN
Dallas, TX 75209-3332
Phone
(214) 956-9100
Fax
(214) 956-9169
NPI assigned
Feb 23, 2021
Organization subpart
Yes
Parent organization
DAVID D MCFADDEN, DMD PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2021

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

Authorized official

Name
Mrs. Staci Matthews
Title
Business Manager
Phone
(214) 956-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

5120 W Lovers LN
Dallas, TX 75209-3332

Mailing address

5120 W Lovers LN
Dallas, TX 75209-3332
Phone (214) 956-9100

Other identifiers 1

IdentifierTypeStateIssuer
16369OtherTXTEXAS DENTAL LICENSE

Other names 1

  • McFadden Dental Implant Center Doing business as

National Provider Directory

National Provider Directory
Part of
David D McFadden DMD PA

Locations

5120 W Lovers Ln
Dallas, TX 75209
Phone (214) 956-9100

Practitioners & affiliated clinicians

Practitioners 4

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": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614038400000",
    "number": "1720672579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 W LOVERS LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752093332",
            "telephone_number": "214-956-9100",
            "fax_number": "214-956-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D MCFADDEN, DMD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVID D MCFADDEN, DMD PA",
        "enumeration_date": "2021-02-23",
        "last_updated": "2021-02-23",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "STACI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "214-956-9100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DENTAL LICENSE",
            "identifier": "16369",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McFadden Dental Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.