NPIMap

Organization Active NPI

Grill Repair, P. a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Plano, TX
National Provider Identifier
1750682142
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
20522 Issued in TX
Legal business name
GRILL REPAIR, P. A.
Practice address
6225 Chapel Hill Blvd
Plano, TX 75093-6392
Phone
(817) 897-6006
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Dr. Bryan ElvebakNPI 1033351408
Title
Partner
Phone
(940) 484-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 20522 TX Primary

Addresses

Primary practice location

6225 Chapel Hill Blvd
Plano, TX 75093-6392

Mailing address

PO Box 161971
Fort Worth, TX 76161-1971
Phone (817) 897-6006

National Provider Directory

National Provider Directory
Tax ID family
Grill Repair PA7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6225 Chapel Hill Blvd
Plano, TX 75093
Phone (817) 897-6006

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1750682142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161971",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761611971",
            "telephone_number": "817-897-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6225 CHAPEL HILL BLVD",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936392",
            "telephone_number": "817-897-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRILL REPAIR, P. A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "ELVEBAK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "940-484-5437",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "20522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.