NPIMap

Organization Active NPI

Wynnewood Dental Care

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1841502879
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14702 Issued in TX
Legal business name
WYNNEWOOD DENTAL CARE
Practice address
4650 S Hampton Rd
Suite 103
Dallas, TX 75232-1066
Phone
(214) 943-1311
Fax
(214) 943-5125
NPI assigned
Jul 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Dr. Shirley Ann Taulton, DDSNPI 1194940817
Title
Owner
Phone
(214) 943-1311

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 14702 TX Primary

Addresses

Primary practice location

4650 S Hampton Rd
Suite 103
Dallas, TX 75232-1066

Mailing address

4650 S Hampton Rd
Suite 103
Dallas, TX 75232-1066
Phone (214) 943-1311

National Provider Directory

National Provider Directory

Locations

4650 S Hampton Rd
Ste 103
Dallas, TX 75232
Phone (214) 943-1311

Practitioners & affiliated clinicians

Practitioners 3

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": "1278460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1841502879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 S HAMPTON RD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321066",
            "telephone_number": "214-943-1311",
            "fax_number": "214-943-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S HAMPTON RD",
            "address_2": "SUITE 103",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321066",
            "telephone_number": "214-943-1311",
            "fax_number": "214-943-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYNNEWOOD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-07",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "TAULTON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-943-1311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "14702",
            "primary": true
        }
    ],
    "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 Jul 7, 2010; 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.