Shizuoka PLLC

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

Legal business name

SHIZUOKA PLLC

Doing business as

Alpha Dental

Practice address

1441 Midlothian Pkwy
Midlothian, TX 76065

Phone

(972) 954-9339

Fax

(972) 945-3040

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SHIZUOKA PLLCAs reported in NPPES

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

Authorized official

Name

Hiroshi Saka, D.M.D.

Title

Director

Phone

(972) 954-9339

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alpha Dental Doing business as

Part of

Shizuoka PLLC

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1871258061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 MIDLOTHIAN PKWY, STE 150",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "972-954-9339",
            "fax_number": "972-945-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 MIDLOTHIAN PKWY",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "76065",
            "telephone_number": "972-954-9339",
            "fax_number": "972-945-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIZUOKA PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHIZUOKA PLLC",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "SAKA",
        "authorized_official_first_name": "HIROSHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-954-9339",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212955335",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bobby Ray Seago
• Monica Sheibley, DDS
• Shelly K. Clark, Dentistry for Children (Shelly K. Clark, DDS Dentistry for Children)
• Khristy Jeneen Sherrell, FNP
• John Daniel Shields, MED, ATC, LAT
• Deniyah Shropshire
• Jennifer Marie Siebert
• Jackeline Sierra, LPCA
• Kati R Silcox, LPC
• Julianne Six, DPT

• Dental Anesthesiology in Midlothian, TX
• Providers in Midlothian, TX by specialty
• Dental Anesthesiology in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.