Organization Active NPI

LL Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1801488986
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LL DENTAL PLLC
Practice address
4540 Ross Ave Ste 140
Dallas, TX 75204-4911
Phone
(954) 865-5603
NPI assigned
Feb 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

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

Authorized official

Name
Xinxing LiuNPI 1588118152
Title
Dentist
Phone
(954) 865-5603

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

4540 Ross Ave Ste 140
Dallas, TX 75204-4911

Mailing address

3721 Vienna St
Irving, TX 75038-8462

National Provider Directory

National Provider Directory

Locations

4540 Ross Ave
Ste 140
Dallas, TX 75204
Phone (954) 865-5603

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": "1612828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1801488986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 VIENNA ST",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750388462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 ROSS AVE STE 140",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752044911",
            "telephone_number": "954-865-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LL DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-09",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "XINXING",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "954-865-5603"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 26, 2023; 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.