Organization Active NPI

Las Colinas Family Dentistry and Orthodontics PLLC

  • Dentist
  • Irving, TX
National Provider Identifier
1861988073
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24185 Issued in TX
Legal business name
LAS COLINAS FAMILY DENTISTRY AND ORTHODONTICS PLLC
Practice address
6421 Riverside Dr Ste 130
Irving, TX 75039-3501
Phone
(972) 919-0402
Fax
(469) 779-9495
NPI assigned
Jul 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

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

Authorized official

Name
Dr. Mohamad Raghid Alolabi, DDS
Title
Co Owner
Phone
(972) 919-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24185 TX Primary

Addresses

Primary practice location

6421 Riverside Dr Ste 130
Irving, TX 75039-3501

Mailing address

6421 Riverside Dr Ste 130
Irving, TX 75039-3501
Phone (972) 919-0402

National Provider Directory

National Provider Directory

Locations

6421 Riverside Dr
Ste 130
Irving, TX 75039
Phone (972) 919-0402

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1861988073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 RIVERSIDE DR STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393501",
            "telephone_number": "972-919-0402",
            "fax_number": "469-779-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 RIVERSIDE DR STE 130",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393501",
            "telephone_number": "972-919-0402",
            "fax_number": "469-779-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS COLINAS FAMILY DENTISTRY AND ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "ALOLABI",
        "authorized_official_first_name": "MOHAMAD",
        "authorized_official_middle_name": "RAGHID",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "972-919-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; 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.