Organization Active NPI

George Xenakis DDS TX PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1780136499
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
32410 Issued in TX
Legal business name
GEORGE XENAKIS DDS TX PLLC
Practice address
11834 Harry Hines Blvd Ste 109
Dallas, TX 75234-5906
Phone
(469) 567-3810
Fax
(469) 567-3905
NPI assigned
Oct 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Authorized official

Name
Dr. George Xenakis, D.D.S
Title
Owner
Phone
(212) 643-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 32410 TX Primary

Addresses

Primary practice location

11834 Harry Hines Blvd Ste 109
Dallas, TX 75234-5906

Mailing address

11834 Harry Hines Blvd Ste 109
Dallas, TX 75234-5906
Phone (469) 567-3810

Other names 1

  • United Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

11834 Harry Hines Blvd
Ste 109
Dallas, TX 75234
Phone (469) 567-3810

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477612800000",
    "number": "1780136499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11834 HARRY HINES BLVD STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752345906",
            "telephone_number": "469-567-3810",
            "fax_number": "469-567-3905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11834 HARRY HINES BLVD STE 109",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752345906",
            "telephone_number": "469-567-3810",
            "fax_number": "469-567-3905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE XENAKIS DDS TX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A",
        "authorized_official_last_name": "XENAKIS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-643-0927",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "32410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 28, 2016; 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.