Organization Active NPI

Dumas Dental PLLC

Doing business as Casa Dental

  • General Practice Dentistry
  • Dumas, TX
National Provider Identifier
1730687120
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24348 Issued in TX
Legal business name
DUMAS DENTAL PLLC
Doing business as
Casa Dental
Practice address
2100 S Dumas Ave Ste 112
Dumas, TX 79029-6112
Phone
(806) 934-3170
NPI assigned
Jan 31, 2018
Last updated
Jan 31, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Darren Earl Boggs
Title
Chief of Operations
Phone
(940) 368-1495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24348 TX Primary

Addresses

Primary practice location

2100 S Dumas Ave Ste 112
Dumas, TX 79029-6112

Mailing address

1261 W Green Oaks Blvd Ste 103
Arlington, TX 76013-8349
Phone (940) 368-1495

Other names 1

  • Casa Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1730687120",
    "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": "940-368-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 S DUMAS AVE STE 112",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790296112",
            "telephone_number": "806-934-3170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUMAS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "BOGGS",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "940-368-1495"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dumas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.