Organization Active NPI

Patel & Sigurdson PLLC

Doing business as Lakewood Dental Group

  • Dentist
  • Dallas, TX
National Provider Identifier
1861912735
Registry record updated May 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31895 Issued in TX
Legal business name
PATEL & SIGURDSON PLLC
Doing business as
Lakewood Dental Group
Practice address
6434 E Mockingbird LN Ste 215
Dallas, TX 75214-2494
Phone
(214) 827-1885
Fax
(214) 827-1885
NPI assigned
Jun 22, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2020

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

Authorized official

Name
Shaun Sigurdson, DDSNPI 1467803643
Title
Owner
Phone
(832) 612-1123

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 31895 TX Primary

Addresses

Primary practice location

6434 E Mockingbird LN Ste 215
Dallas, TX 75214-2494

Mailing address

2901 Cityplace West Blvd Apt 603
Dallas, TX 75204-0368
Phone (832) 612-1123

Other names 1

  • Lakewood Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

6434 E Mockingbird Ln
Ste 215
Dallas, TX 75214
Phone (214) 827-1885

6331 Prospect Ave
Ste 3
Dallas, TX 75214

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590105600000",
    "number": "1861912735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CITYPLACE WEST BLVD APT 603",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752040368",
            "telephone_number": "832-612-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6434 E MOCKINGBIRD LN STE 215",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142494",
            "telephone_number": "214-827-1885",
            "fax_number": "214-827-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATEL & SIGURDSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A",
        "authorized_official_last_name": "SIGURDSON",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-612-1123",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "31895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Dental Group",
            "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 May 22, 2020; 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.