North Texas Heritage Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22841 Issued in TX

Legal business name

NORTH TEXAS HERITAGE DENTAL PLLC

Practice address

4041 W Wheatland Rd
#202
Dallas, TX 75237-4063

Phone

(281) 630-2193

NPI assigned

Nov 21, 2016

Last updated

Nov 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stevens, D.D.S.NPI 1043393572

Title

President

Phone

(281) 630-2193

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Michael Allan Stevens, D.D.S.

  • General Practice Dentistry
  • Justin, TX
  • NPI 1043393572
  Authorized official Same address or phone

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479686400000",
    "number": "1851834006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 W YEAGUA ST",
            "city": "GROESBECK",
            "state": "TX",
            "postal_code": "766423526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 W WHEATLAND RD",
            "address_2": "#202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752374063",
            "telephone_number": "281-630-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH TEXAS HERITAGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-630-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Texas Health Care System
• North Texas Health Care System
• North Texas Healthcare System/Dallas
• North Texas Heart Center PA
• North Texas Heart Surgery Center, PLLC
• North Texas Imaging Center
• North Texas Imaging Hampton Center II LTD
• North Texas Infectious Disaeases Consultants, PA
• North Texas Infectious Diseases Consultants
• North Texas Infusion and Specialty Pharmacy, L.L.C.

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.