NPIMap

Organization Active NPI

Dayspring Dental, PLLC

  • Dentist
  • Bedford, TX
National Provider Identifier
1821444175
Registry record updated May 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16493 Issued in TX
Legal business name
DAYSPRING DENTAL, PLLC
Practice address
2700 Brown TRL
Suite 1
Bedford, TX 76021-4182
Phone
(817) 282-1331
NPI assigned
May 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2016

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

Authorized official

Name
Kyle David Eberlein, DDS
Title
Manager
Phone
(817) 282-1331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16493 TX Primary

Addresses

Primary practice location

2700 Brown TRL
Suite 1
Bedford, TX 76021-4182

Mailing address

2700 Brown TRL
Suite 1
Bedford, TX 76021-4182
Phone (817) 282-1331

National Provider Directory

National Provider Directory

Locations

2700 Brown Trl
Ste 1
Bedford, TX 76021
Phone (817) 282-1331

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": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462406400000",
    "number": "1821444175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 BROWN TRL",
            "address_2": "SUITE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214182",
            "telephone_number": "817-282-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 BROWN TRL",
            "address_2": "SUITE 1",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760214182",
            "telephone_number": "817-282-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYSPRING DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-05-05",
        "status": "A",
        "authorized_official_last_name": "EBERLEIN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-282-1331",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 5, 2016; 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.