Ivory Bliss PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

IVORY BLISS PC

Doing business as

Precinct line dentistry

Practice address

6305 Precinct Line Rd Ste 400
North Richland Hills, TX 76180-4827

Phone

(817) 663-0076

Fax

(817) 663-0081

NPI assigned

Mar 30, 2021

Organization subpart

No

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

Authorized official

Name

Anuradha VaddineniNPI 1972817203

Title

DMD

Phone

(817) 663-0076

Specialties & licenses 1

Addresses

Other names 1

• Precinct line dentistry Doing business as

Locations

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.

• Anuradha Vaddineni, DMD

  • General Practice Dentistry
  • North Richland Hills, TX
  • NPI 1972817203
  NPD Authorized official
• June Dan Hong, DDS

  • General Practice Dentistry
  • Normandy Park, WA
  • NPI 1366568263
  NPD (past)

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1831777127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 PRECINCT LINE RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804827",
            "telephone_number": "817-663-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 PRECINCT LINE RD STE 400",
            "city": "NORTH RICHLAND HILLS",
            "state": "TX",
            "postal_code": "761804827",
            "telephone_number": "817-663-0076",
            "fax_number": "817-663-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVORY BLISS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "VADDINENI",
        "authorized_official_first_name": "ANURADHA",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "817-663-0076"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precinct line dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• In His Image Internal Medicine & Sleep Medicine Associates Inc. (Hope Medical Center)
• Christine Inchausti
• Integrity Consulting & Training Services, LLC
• Integrity Cryo and Recovery LLC
• Interim Woodlands TX (Interim Healthcare Woodlands TX)
• Andrea Beth Jackson, LMFT-ASSOCIATE
• Brentom E. Jackson, LPC
• Daiquri Jackson
• Samantha Jackson, LVN
• Mira Hardevsinh Jadeja, PHARM D

• Dental Clinic/Center in North Richland Hills, TX
• Providers in North Richland Hills, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.