Grapevine Dental Center PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRAPEVINE DENTAL CENTER PLLC

Practice address

1015 W Wall St
Grapevine, TX 76051-5151

Phone

(817) 481-1813

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Victoria J Johnson

Title

Cro

Phone

(941) 444-0558

Specialties & licenses 1

Addresses

Other names 1

• Dental Care Alliance Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Colangelo, DDS

  • Dentist
  • Keller, TX
  • NPI 1568656346
  NPD (past)
• Anthony Joseph Dillard, DDS

  • General Practice Dentistry
  • Grapevine, TX
  • NPI 1841425212
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1881364586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515151",
            "telephone_number": "817-481-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAPEVINE DENTAL CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CRO",
        "authorized_official_telephone_number": "941-444-0558"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care Alliance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grapevine Birthing Center
• Grapevine Cardiology
• Grapevine Chiropractic LLC
• Grapevine Colleyville Isd
• Grapevine Counseling Center, PLLC
• Grapevine Drug Mart Inc
• Grapevine Emergency Physicians PLLC
• Grapevine Health
• Grapevine Imaging & Pain Management Center LLC
• Grapevine Internal Medicine Centre

• Dentist in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.