Organization Active NPI

Seniordent Dental Care of Texas PC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1922790575
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SENIORDENT DENTAL CARE OF TEXAS PC
Practice address
2901 Indiana Blvd Apt 225
Dallas, TX 75226-1558
Phone
(888) 970-3400
Fax
(888) 456-3812
NPI assigned
May 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
William Selmer, DDS
Title
Owner
Phone
(888) 970-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2901 Indiana Blvd Apt 225
Dallas, TX 75226-1558

Mailing address

2314 S Route 59 Ste 384
Plainfield, IL 60586-7756
Phone (888) 970-3400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1922790575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2314 S ROUTE 59 STE 384",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605867756",
            "telephone_number": "888-970-3400",
            "fax_number": "888-456-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 INDIANA BLVD APT 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752261558",
            "telephone_number": "888-970-3400",
            "fax_number": "888-456-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORDENT DENTAL CARE OF TEXAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "SELMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-970-3400",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 23, 2023; 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.