Organization Active NPI

Access Orthodontics of Illinois PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Dallas, TX
National Provider Identifier
1740540087
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
23218 Issued in TX
Legal business name
ACCESS ORTHODONTICS OF ILLINOIS PA
Practice address
2304 W Illinois Ave
Dallas, TX 75224-1638
Phone
(214) 337-7200
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Anurag R Patel, DMD
Title
Owner
Phone
(214) 337-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 23218 TX Primary

Addresses

Primary practice location

2304 W Illinois Ave
Dallas, TX 75224-1638

Mailing address

2304 W Illinois Ave
Dallas, TX 75224-1638
Phone (214) 337-7200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1740540087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241638",
            "telephone_number": "214-337-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241638",
            "telephone_number": "214-337-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS ORTHODONTICS OF ILLINOIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANURAG",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-337-7200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 21, 2012; 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.