Organization Active NPI

Cedar Hill Modern Dentistry, PC

  • General Practice Dentistry
  • Cedar Hill, TX
National Provider Identifier
1992001986
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CEDAR HILL MODERN DENTISTRY, PC
Practice address
398 E FM 1382 Ste B
Cedar Hill, TX 75104-6024
Phone
(972) 291-6262
Fax
(972) 291-9981
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. John S Barnes, DDS
Title
Owner Doctor
Phone
(972) 291-6262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

398 E FM 1382 Ste B
Cedar Hill, TX 75104-6024

Mailing address

2860 Michelle FL 2
Irvine, CA 92606-1008
Phone (714) 368-2077

Other names 1

  • Cedar Hill Modern Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

398 E FM 1382
Ste B
Cedar Hill, TX 75104
Phone (972) 291-6262

Practitioners & affiliated clinicians

Practitioners 4

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1992001986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 MICHELLE FL 2",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926061008",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 E FM 1382 STE B",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751046024",
            "telephone_number": "972-291-6262",
            "fax_number": "972-291-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILL MODERN DENTISTRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "972-291-6262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Hill Modern Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Hill, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.