Organization Active NPI

Myriad Dental Studio PLLC

  • Dental Clinic/Center
  • Bartonville, TX
National Provider Identifier
1730924259
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MYRIAD DENTAL STUDIO PLLC
Practice address
3000 FM 407 E Ste 300
Bartonville, TX 76226-9366
Phone
(719) 466-3467
NPI assigned
Jun 26, 2024
Last updated
Aug 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Diana Lopez, DDSNPI 1124434840
Title
Dentist
Phone
(940) 226-2000

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary
Dentist 122300000X NU

Addresses

Primary practice location

3000 FM 407 E Ste 300
Bartonville, TX 76226-9366

Mailing address

3000 FM 407 E Ste 300
Bartonville, TX 76226-9366
Phone (719) 466-3467

National Provider Directory

National Provider Directory

Locations

3000 FM 407 E
Ste 300
Bartonville, TX 76226
Phone (510) 461-4330

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1730924259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FM 407 E STE 300",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762269366",
            "telephone_number": "719-466-3467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FM 407 E STE 300",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762269366",
            "telephone_number": "719-466-3467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRIAD DENTAL STUDIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-26",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "940-226-2000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.