Active NPI
Buckner Rsvglc PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, TX
National Provider Identifier
1851944706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- BUCKNER RSVGLC PLLC
- Practice address
- 2702 S Buckner Blvd # 111
Dallas, TX 75227-6903 - Phone
- (214) 493-1216
- NPI assigned
- Jul 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nina Abtahi
- Title
- Manager
- Phone
- (214) 493-1216
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | |||
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
2702 S Buckner Blvd # 111
Dallas, TX 75227-6903
Mailing address
2702 S Buckner Blvd # 111
Dallas, TX 75227-6903
Phone (214) 493-1216
Other names 1
- Alta Orthodontics and Dental Specialists
National Provider Directory
National Provider DirectoryLocations
2702 S Buckner Blvd
#111
Dallas, TX 75227
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- San Antonio, TX
- NPI 1114129764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1563494400000",
"number": "1851944706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 S BUCKNER BLVD # 111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752276903",
"telephone_number": "214-493-1216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 S BUCKNER BLVD # 111",
"city": "DALLAS",
"state": "TX",
"postal_code": "752276903",
"telephone_number": "214-493-1216"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKNER RSVGLC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A",
"authorized_official_last_name": "ABTAHI",
"authorized_official_first_name": "NINA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "214-493-1216"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Alta Orthodontics and Dental Specialists",
"code": "3",
"type": "Doing Business As"
}
]
}
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 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.