IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC (NPI# 1316564990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316564990 |
Entity Type | Organization |
Organization Name | IKIDS PEDIATRIC DENTISTRY LAKEWOOD, PLLC |
Practice Address |
2011 Abrams Parkway Dallas TX 75214 |
Mailing Address |
2500 E Broad St Ste 104 Mansfield TX 76063-4182 |
Practice Telephone | 4695819001 |
Practice Fax Number | 4695819002 |
Mailing Telephone | 8174668554 |
Mailing Fax Number | 6822730663 |
Enumeration Date | 2020-06-30 |
Last Update Date | 2020-07-01 |
Authorized Official Name | ALYSSA N AGUILAR (DIRECTOR OF REVENUE & CREDENTIALING) |
Authorized Official Telephone | 8174668554 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
Street Address |
2011 ABRAMS PARKWAY |
City | DALLAS |
State | TX |
Zip Code | 75214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447714183 | Lcl Mental Health Services | Marriage & Family Therapist | 6060 North Central Expwy, Suite 500, Dallas, TX 75214 | 2019-01-28 |
1487136776 | Muriel Kim Jimenez | Occupational Therapist | 6301 Gaston Ave # 162p, Dallas, TX 75214 | 2018-09-03 |
1447783352 | Nietta Reynolds | Counselor | 4935 Junius, 9, Dallas, TX 75214 | 2017-04-07 |
1124551536 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 6474 E. Northwest Hwy, Dallas, TX 75214 | 2017-04-04 |
1093265324 | Sarah Gammon | Behavior Technician | 6908 Wake Forrest Dr, Dallas, TX 75214 | 2016-10-11 |
1669921466 | Ivan Barboza | Physical Therapy Assistant | 5931 Reiger Ave, Dallas, TX 75214 | 2016-09-22 |
1164892857 | Edwin Gulledge Grafton Jr. | Ophthalmology | 6235 Ravendale Ln., Dallas, TX 75214 | 2015-10-07 |
1093182057 | Callie Jack | Audiologist-Hearing Aid Fitter | 6162 E. Mockingbird Lane, Suite 100, Dallas, TX 75214 | 2015-08-26 |
1427436179 | John Martin Whitfill | Internal Medicine | 7040 Tokalon Dr., Dallas, TX 75214 | 2015-05-14 |
1366868275 | Klaudia Lopez-jones | Speech-Language Pathologist | 6301 Gaston Avenue, Suite 750, Dallas, TX 75214 | 2014-03-16 |
Find all providers in zip 75214 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
1851944706 | Buckner Rsvglc Pllc | Dentist | 2702 S Buckner Blvd # 111, Dallas, TX 75227-6903 | 2019-07-19 |
1881170355 | Awesome Kids Dentistry | Dentist | 3217 W Davis St, Dallas, TX 75211-2923 | 2018-07-17 |
1053812081 | Armin Afshar | Dentist | 201 Se Washington St Ste A, Dallas, OR 97338-2860 | 2018-02-25 |
1477077717 | Children's Dental At Preston Trail, PC | Dentist | 17194 Preson Road, Dallas, TX 75248 | 2017-07-28 |
1558897686 | Chandler Choate Borth | Dentist | 8305 Walnut Hill Ln Ste 225, Dallas, TX 75231-4259 | 2017-05-10 |
1629516919 | William Preston Colven Jr. | Dentist | 8355 Walnut Hill Ln Ste 125, Dallas, TX 75231-4237 | 2017-02-07 |
1447797188 | A Smile for Life Pllc | Dentist | 324 Medallion Ctr, Dallas, TX 75214-1580 | 2017-01-19 |
1740649441 | J Diane Colter, Dds, Pa | Dentist | 12300 Inwood Rd., Ste #220, Dallas, TX 75244 | 2016-02-23 |
1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
Find all providers in DALLAS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.