Organization Active NPI

DBK Group PLLC

  • Dental Clinic/Center
  • Mansfield, TX
National Provider Identifier
1770977167
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
27324 Issued in TX
Legal business name
DBK GROUP PLLC
Doing business as
Dentaleaf
Practice address
1560 E. Debbie Lane
Suite 108
Mansfield, TX 76063
Phone
(817) 488-2120
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Dr. Cameron Hamidi, DDS
Title
Owner
Phone
(614) 598-2078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 27324 TX Primary

Addresses

Primary practice location

1560 E. Debbie Lane
Suite 108
Mansfield, TX 76063

Mailing address

6207 Colleyville Blvd
#150
Colleyville, TX 76034-8015
Phone (817) 488-2021

Other names 1

  • Dentaleaf 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": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1770977167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 COLLEYVILLE BLVD",
            "address_2": "#150",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760348015",
            "telephone_number": "817-488-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E. DEBBIE LANE",
            "address_2": "SUITE 108",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-488-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBK GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "HAMIDI",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-598-2078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentaleaf",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.