Ivyrose Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

IVYROSE FAMILY DENTISTRY

Practice address

2131 N Collins St
Ste 415
Arlington, TX 76011-2849

Phone

(682) 518-5655

NPI assigned

Aug 8, 2013

Last updated

Aug 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rosa Beck, DDS

Title

Dentist/Owner

Phone

(682) 518-5655

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1780016113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 MATLOCK RD",
            "address_2": "STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633814",
            "telephone_number": "682-518-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 N COLLINS ST",
            "address_2": "STE 415",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760112849",
            "telephone_number": "682-518-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYROSE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "682-518-5655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Richard Glenn Ivy Jr., D.C.
• Amir H Izaddoust, D.D.S.
• Precious K Izah
• J & C Homecare Agency
• J & J Home Care
• J & J Independent Living Assistance

• General Practice Dentistry in Arlington, TX
• Providers in Arlington, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; 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.