Organization Active NPI

Endodontic Specialists of Rockwall Bamf Dental PLLC Sole MBR

Doing business as Endodontic Specialist of Rockwall

  • Endodontics
  • Rockwall, TX
National Provider Identifier
1952742470
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
23811 Issued in TX
Legal business name
ENDODONTIC SPECIALISTS OF ROCKWALL BAMF DENTAL PLLC SOLE MBR
Doing business as
Endodontic Specialist of Rockwall
Practice address
1215 Arista Dr Ste 101
Rockwall, TX 75032-6657
Phone
(469) 698-7668
Fax
(469) 698-7670
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Carol Riojas
Title
HR
Phone
(817) 529-8151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223E0200X 23811 TX Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 23811 TX

Addresses

Primary practice location

1215 Arista Dr Ste 101
Rockwall, TX 75032-6657

Mailing address

1215 Arista Dr Ste 101
Rockwall, TX 75032-6657
Phone (469) 698-7668

Other names 1

  • ENDODONTIC SPECIALIST OF ROCKWALL Doing business as

National Provider Directory

National Provider Directory

Locations

1215 Arista Dr
#101
Rockwall, TX 75032
Phone (469) 267-6816

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1952742470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 ARISTA DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326657",
            "telephone_number": "469-698-7668",
            "fax_number": "469-698-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 ARISTA DR STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326657",
            "telephone_number": "469-698-7668",
            "fax_number": "469-698-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDODONTIC SPECIALISTS OF ROCKWALL BAMF DENTAL PLLC SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "RIOJAS",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "HR",
        "authorized_official_telephone_number": "817-529-8151"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "23811",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "23811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENDODONTIC SPECIALIST OF ROCKWALL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.