Organization Active NPI

Primrose Dental PLLC

  • General Practice Dentistry
  • Haltom City, TX
National Provider Identifier
1992398317
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PRIMROSE DENTAL PLLC
Practice address
3522 Denton Hwy
Haltom City, TX 76117
Phone
(408) 306-6618
NPI assigned
Feb 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Nishi Arondekar, DDSNPI 1639623424
Title
Dentist
Phone
(817) 918-4470

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3522 Denton Hwy
Haltom City, TX 76117

Mailing address

3522 Denton Hwy
Haltom City, TX 76117
Phone (817) 918-4470

National Provider Directory

National Provider Directory

Locations

3522 Denton Hwy
Haltom City, TX 76117
Phone (408) 306-6618

Practitioners & affiliated clinicians

Practitioners 1

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": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1992398317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "817-918-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 DENTON HWY",
            "city": "HALTOM CITY",
            "state": "TX",
            "postal_code": "76117",
            "telephone_number": "408-306-6618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMROSE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-02",
        "status": "A",
        "authorized_official_last_name": "ARONDEKAR",
        "authorized_official_first_name": "NISHI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-918-4470",
        "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": []
}

Other providers in Haltom City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.