Organization Active NPI

Pja Dental PC

  • Dental Clinic/Center
  • Arlington, TX
National Provider Identifier
1962075648
Registry record updated Jul 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PJA DENTAL PC
Practice address
2628 Matlock Rd
Arlington, TX 76015-2525
Phone
(817) 617-2860
Fax
(817) 549-7871
NPI assigned
Jul 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2021

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

Authorized official

Name
Pierre Jamil Amour, DDSNPI 1558422246
Title
Owner
Phone
(818) 325-9995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2628 Matlock Rd
Arlington, TX 76015-2525

Mailing address

2628 Matlock Rd
Arlington, TX 76015-2525
Phone (817) 617-2860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1626825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626825600000",
    "number": "1962075648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-617-2860",
            "fax_number": "817-549-7871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 MATLOCK RD",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-617-2860",
            "fax_number": "817-549-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PJA DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A",
        "authorized_official_last_name": "AMOUR",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "JAMIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-325-9995",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.