NPIMap

Organization Active NPI

Trinity J & S, Inc.

Doing business as Trinity Dental Care

  • General Practice Dentistry
  • Bedford, TX
National Provider Identifier
1790004224
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRINITY J & S, INC.
Doing business as
Trinity Dental Care
Practice address
1600 Bedford Rd
Suite 200
Bedford, TX 76021-5702
Phone
(817) 358-0909
Fax
(817) 358-0900
NPI assigned
May 24, 2010
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Jasdeep Walia
Title
President/Dentist
Phone
(214) 455-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1600 Bedford Rd
Suite 200
Bedford, TX 76021-5702

Mailing address

1600 Bedford Rd
Suite 200
Bedford, TX 76021-5702
Phone (817) 358-0909

Other identifiers 1

IdentifierTypeStateIssuer
22368OtherTXLICENSE NUMBER

Other names 1

  • Trinity Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Trinity Dental Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1600 Bedford Rd
#200
Bedford, TX 76021
Phone (817) 358-0909

Practitioners & affiliated clinicians

Practitioners 2

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": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1790004224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD RD",
            "address_2": "SUITE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215702",
            "telephone_number": "817-358-0909",
            "fax_number": "817-358-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 BEDFORD RD",
            "address_2": "SUITE 200",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215702",
            "telephone_number": "817-358-0909",
            "fax_number": "817-358-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY J & S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "JASDEEP",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "214-455-3111"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "22368",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; 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.