Organization Active NPI

Fresh Start Dental PC

  • Dentist
  • Dallas, TX
National Provider Identifier
1942177753
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FRESH START DENTAL PC
Practice address
1441 N Cockrell Hill Rd
Dallas, TX 75211-1303
Phone
(214) 330-7771
Fax
(214) 330-9242
NPI assigned
Oct 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Adeyinka O Anyaegbu
Title
DMD
Phone
(214) 330-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1441 N Cockrell Hill Rd
Dallas, TX 75211-1303

Mailing address

1441 N Cockrell Hill Rd
Dallas, TX 75211-1303
Phone (214) 330-7771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1942177753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N COCKRELL HILL RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111303",
            "telephone_number": "214-330-7771",
            "fax_number": "214-330-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 N COCKRELL HILL RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111303",
            "telephone_number": "214-330-7771",
            "fax_number": "214-330-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-17",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "ANYAEGBU",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "214-330-7771"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "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 Oct 17, 2025; 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.