Organization Active NPI

Mockingbird Dental Group, PC

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1801153382
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MOCKINGBIRD DENTAL GROUP, PC
Practice address
1534 E Interstate 30
Suite 300
Garland, TX 75043-4788
Phone
(972) 270-4456
NPI assigned
Apr 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Lori Anna Dees, DDS
Title
President
Phone
(972) 270-4456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1534 E Interstate 30
Suite 300
Garland, TX 75043-4788

Mailing address

PO Box 678636
Dallas, TX 75267-8636

National Provider Directory

National Provider Directory

Locations

1534 E Interstate 30
Ste 300
Garland, TX 75043
Phone (972) 270-4456

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1801153382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 678636",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752678636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 E INTERSTATE 30",
            "address_2": "SUITE 300",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750434788",
            "telephone_number": "972-270-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCKINGBIRD DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "DEES",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-270-4456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2012; 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.