Cedar Ridge Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12202 Issued in TX

Legal business name

CEDAR RIDGE DENTAL CARE

Practice address

210 S Cedar Ridge Dr Ste a
Duncanville, TX 75116-4578

Phone

(972) 296-3600

Fax

(972) 296-8527

NPI assigned

Aug 26, 2009

Organization subpart

Yes

Parent organization

CEDAR RIDGE DENTAL CAREAs reported in NPPES

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

Authorized official

Name

David Johnston, D.D.SNPI 1497974570

Title

Owner

Phone

(972) 296-3600

Specialties & licenses 1

Addresses

Part of

Cedar Ridge Dental Care

Locations

Practitioners 1

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

• David Johnston

  • General Practice Dentistry
  • Duncanville, TX
  • NPI 1497974570
  NPD (past) Authorized official

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1801029764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S CEDAR RIDGE DR STE A",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164578",
            "telephone_number": "972-296-3600",
            "fax_number": "972-296-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S CEDAR RIDGE DR STE A",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164578",
            "telephone_number": "972-296-3600",
            "fax_number": "972-296-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR RIDGE DENTAL CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR RIDGE DENTAL CARE",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-296-3600",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos Martinez, DDS, PLLC (Glow Family Dental)
• Zephyr Leacarol Carson, LCSW
• Carter Medical Equipment & Supplies
• Leah A Carter
• Clifford Castille
• Cedar Ridge Family Medical Clinic
• Cedar Ridge Transportation LLC (LifeLine Medical Transportation)
• William Joseph Chakar, DDS
• Charles L Wagnon MD PA
• Sue CHI

• General Practice Dentistry in Duncanville, TX
• Providers in Duncanville, 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 26, 2009; 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.