NPIMap

Organization Active NPI

Ideal Dental of Flower Mound, PC

  • General Practice Dentistry
  • Flower Mound, TX
National Provider Identifier
1992096952
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22290 Issued in TX
Legal business name
IDEAL DENTAL OF FLOWER MOUND, PC
Practice address
2616 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone
(972) 899-3499
Fax
(972) 899-3498
NPI assigned
Apr 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Authorized official

Name
Ms. Carol Lyn Cantu
Title
Insurance Specialist
Phone
(972) 361-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22290 TX Primary

Addresses

Primary practice location

2616 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839

Mailing address

2616 Long Prairie Rd
Suite 105
Flower Mound, TX 75022-4839
Phone (972) 899-3499

Other names 1

  • Cornerstone Dental - Flower Mound Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1992096952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-3499",
            "fax_number": "972-899-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2616 LONG PRAIRIE RD",
            "address_2": "SUITE 105",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750224839",
            "telephone_number": "972-899-3499",
            "fax_number": "972-899-3498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL OF FLOWER MOUND, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "CANTU",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "INSURANCE SPECIALIST",
        "authorized_official_telephone_number": "972-361-0600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Dental - Flower Mound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.