Beyond Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BEYOND PEDIATRIC DENTISTRY

Doing business as

Dallas Pediatric Dentistry

Practice address

8411 Preston Rd Ste 200
Dallas, TX 75225-5517

Phone

(972) 808-6825

NPI assigned

Dec 30, 2019

Last updated

Jun 14, 2021By 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. Carla Damon, DDS

Title

Co-Owner

Phone

(972) 808-6825

Specialties & licenses 1

Addresses

Other names 2

• Dallas Pediatric Dentistry Doing business as
• Carla Damon, DDS PC Former legal business name

Locations

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1780223339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255517",
            "telephone_number": "082-808-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255517",
            "telephone_number": "972-808-6825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-30",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "972-808-6825",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dallas Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Carla Damon, DDS PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pediatric Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.