Organization Active NPI

Irving Dental Associates PLLC

Doing business as Irving Dental

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1750828885
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28702 Issued in TX
Legal business name
IRVING DENTAL ASSOCIATES PLLC
Doing business as
Irving Dental
Practice address
807 N Belt Line Rd
Irving, TX 75061-6317
Phone
(972) 313-2002
NPI assigned
Jan 26, 2017
Last updated
Feb 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Sehwoon Kim, DMDNPI 1952618555
Title
Member
Phone
(972) 891-8365

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28702 TX Primary

Addresses

Primary practice location

807 N Belt Line Rd
Irving, TX 75061-6317

Mailing address

807 N Belt Line Rd
Irving, TX 75061-6317
Phone (972) 313-2002

Other names 1

  • Irving Dental Doing business as

National Provider Directory

National Provider Directory

Locations

807 N Belt Line Rd
Irving, TX 75061
Phone (972) 313-2002

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": "1485388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1750828885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616317",
            "telephone_number": "972-313-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750616317",
            "telephone_number": "972-313-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING DENTAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-26",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SEHWOON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-891-8365",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "28702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irving Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.