Organization Active NPI

Sandra Lee Armstrong D.D.S,

  • Pediatric Dentistry
  • Southlake, TX
National Provider Identifier
1902055015
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
15692 Issued in TX
Legal business name
SANDRA LEE ARMSTRONG D.D.S,
Practice address
2915 E Southlake Blvd
Suite 200
Southlake, TX 76092-6626
Phone
(817) 488-3533
Fax
(817) 421-9221
NPI assigned
Sep 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Authorized official

Name
Dr. Sandra Lee Armstrong, D.D.S., P.A.NPI 1891880969
Title
Pediatric Dentisy
Phone
(817) 488-3533

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 15692 TX Primary

Addresses

Primary practice location

2915 E Southlake Blvd
Suite 200
Southlake, TX 76092-6626

Mailing address

2915 E Southlake Blvd
Suite 200
Southlake, TX 76092-6626
Phone (817) 488-3533

Other identifiers 1

IdentifierTypeStateIssuer
008988002MedicaidTX

National Provider Directory

National Provider Directory

Locations

2915 E Southlake Blvd
Ste 200
Southlake, TX 76092
Phone (817) 488-3533

Practitioners & affiliated clinicians

Practitioners 3

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": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1902055015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 E SOUTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926626",
            "telephone_number": "817-488-3533",
            "fax_number": "817-421-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2915 E SOUTHLAKE BLVD",
            "address_2": "SUITE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926626",
            "telephone_number": "817-488-3533",
            "fax_number": "817-421-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA LEE ARMSTRONG D.D.S,",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "ARMSTRONG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PEDIATRIC DENTISY",
        "authorized_official_telephone_number": "817-488-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.A."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "15692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008988002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.