Glade Crossing Dental, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

GLADE CROSSING DENTAL, PA

Practice address

1000 W. Glade Road
Suite 300
Grapevine, TX 76051-7535

Phone

(214) 420-7000

NPI assigned

Apr 2, 2021

Organization subpart

No

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

Authorized official

Name

Robert E Tafel, DDS

Title

Owner

Phone

(214) 420-7000

Specialties & licenses 4

Addresses

Other names 1

• Bear Creek Family Dentistry Doing business as

Locations

Practitioners 1

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

• Christina Lun

  • Dentist
  • Prosper, TX
  • NPI 1558942144
  NPD (past)

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1902485535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543414",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753543414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. GLADE ROAD",
            "address_2": "SUITE 300",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517535",
            "telephone_number": "214-420-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE CROSSING DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-02",
        "last_updated": "2022-03-11",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "TAFEL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-420-7000",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bear Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bear Creek Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Giacalone, DPM
• Gloria Kay Gibson
• Morgan Gibson, OTD, OTR/L
• Reef Royal Gillum, DO
• Elizabeth Gitau
• Glaucoma Specialists of Texas SHP PA
• Shelby Leigh Gnepper, ASA
• Abigail Irene Salomon Gold, LPC
• Sheri L Golly, LCSW
• Sable Elizabeth Gonyea, MSW, LCSW

• General Practice Dentistry in Grapevine, TX
• Providers in Grapevine, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.