Organization Active NPI

Joe M. Roland, DDS, Inc.

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1891959201
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18971 Issued in TX
Legal business name
JOE M. ROLAND, DDS, INC.
Practice address
1650 W Irving Blvd
Irving, TX 75061-7259
Phone
(972) 253-5711
Fax
(972) 253-0591
NPI assigned
Jul 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Dr. Joe Mayo Roland, D.D.S.NPI 1649378795
Title
President
Phone
(972) 253-5711

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 18971 TX Primary

Addresses

Primary practice location

1650 W Irving Blvd
Irving, TX 75061-7259

Mailing address

1650 W Irving Blvd
Irving, TX 75061-7259
Phone (972) 253-5711

Other identifiers 1

IdentifierTypeStateIssuer
161343201MedicaidTX

National Provider Directory

National Provider Directory

Locations

1650 W Irving Blvd
Irving, TX 75061
Phone (469) 903-3227

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1891959201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617259",
            "telephone_number": "972-253-5711",
            "fax_number": "972-253-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617259",
            "telephone_number": "972-253-5711",
            "fax_number": "972-253-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE M. ROLAND, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "ROLAND",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "MAYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-253-5711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161343201",
            "state": "TX"
        }
    ],
    "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 15, 2008; 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.