NPIMap

Organization Active NPI

Oak Cliff Dental Center

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1922480417
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21173 Issued in TX
Legal business name
OAK CLIFF DENTAL CENTER
Practice address
820 N Zang Blvd
Suite 110
Dallas, TX 75208-4233
Phone
(214) 948-3364
Fax
(214) 948-1339
NPI assigned
Jun 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Angela Latrenda Jones, DDS
Title
Dentist/Owner
Phone
(214) 948-3364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21173 TX Primary

Addresses

Primary practice location

820 N Zang Blvd
Suite 110
Dallas, TX 75208-4233

Mailing address

820 N Zang Blvd
Suite 110
Dallas, TX 75208-4233
Phone (214) 948-3364

Other identifiers 1

IdentifierTypeStateIssuer
1640336-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

820 N Zang Blvd
Ste 110
Dallas, TX 75208
Phone (214) 948-3364

Practitioners & affiliated clinicians

Practitioners 5

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": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1922480417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N ZANG BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084233",
            "telephone_number": "214-948-3364",
            "fax_number": "214-948-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 N ZANG BLVD",
            "address_2": "SUITE 110",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084233",
            "telephone_number": "214-948-3364",
            "fax_number": "214-948-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK CLIFF DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LATRENDA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-948-3364",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1640336-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.