NPIMap

Organization Active NPI

Irving Dentistry Associates, PLLC

Doing business as DFW Dental Service

  • Dental Clinic/Center
  • Irving, TX
National Provider Identifier
1962983346
Registry record updated Aug 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
31038 Issued in TX
Legal business name
IRVING DENTISTRY ASSOCIATES, PLLC
Doing business as
DFW Dental Service
Practice address
209 S O Connor Rd
Irving, TX 75060-2950
Phone
(972) 251-1701
NPI assigned
Aug 24, 2018
Last updated
Aug 24, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2018

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

Authorized official

Name
Dr. Myoungsoo Kwon, DMDNPI 1255713350
Title
Dentist
Phone
(972) 251-1701

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 31038 TX Primary

Addresses

Primary practice location

209 S O Connor Rd
Irving, TX 75060-2950

Mailing address

209 S O Connor Rd
Irving, TX 75060-2950
Phone (972) 251-1701

Other names 1

  • DFW DENTAL SERVICE Doing business as

National Provider Directory

National Provider Directory

Locations

209 S O Connor Rd
Irving, TX 75060
Phone (972) 251-1701

Practitioners & affiliated clinicians

Practitioners 4

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": "1535068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535068800000",
    "number": "1962983346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602950",
            "telephone_number": "972-251-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602950",
            "telephone_number": "972-251-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING DENTISTRY ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A",
        "authorized_official_last_name": "KWON",
        "authorized_official_first_name": "MYOUNGSOO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-251-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "31038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DFW DENTAL SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.