NPIMap

Organization Active NPI

Shepherd Lane Dental Associates #2

  • Dentist
  • Dallas, TX
National Provider Identifier
1851689483
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22654 Issued in TX
Legal business name
SHEPHERD LANE DENTAL ASSOCIATES #2
Practice address
8202 Spring Valley Rd
Suite 300
Dallas, TX 75240
Phone
(972) 512-0285
Fax
(972) 239-0755
NPI assigned
Jul 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Authorized official

Name
Mr. Holland Morrison, DDS
Title
President
Phone
(972) 512-0285

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 22654 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 22654 TX

Addresses

Primary practice location

8202 Spring Valley Rd
Suite 300
Dallas, TX 75240

Mailing address

8202 Spring Valley Rd
Suite 300
Dallas, TX 75240
Phone (972) 512-0285

National Provider Directory

National Provider Directory
Tax ID family
Shepherd Lane Dental Associates 23 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8202 Spring Valley Rd
Ste 300
Dallas, TX 75240
Phone (972) 512-0285

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1851689483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 SPRING VALLEY RD",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 SPRING VALLEY RD",
            "address_2": "SUITE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75240",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEPHERD LANE DENTAL ASSOCIATES #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-18",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "HOLLAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-512-0285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22654",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "22654",
            "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 Jul 18, 2011; 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.