GRILL REPAIR, P.A. (NPI# 1831490226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831490226 |
| Entity Type | Organization |
| Organization Name | GRILL REPAIR, P.A. |
| Other Organization Name | ORTHODONTICS AT THE DENTAL AND IMPLANT SUITE |
| Practice Address |
458 Mid Cities Blvd Hurst TX 76054-2430 |
| Practice Telephone | 8175712100 |
| Mailing Telephone | 8175712100 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2011-03-02 |
| Authorized Official Name | BRYAN ELVEBAK (OWNER/PARTNER) |
| Authorized Official Telephone | 8175712100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
20522 | TX | Dental Providers |
| Other Name | Type Code |
|---|---|
| Orthodontics at the Dental and Implant Suite | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346560489 | Grill Repair, P.a. | Dentist | 705 W Bailey Boswell Rd, Saginaw, TX 76179-1020 | 2010-06-10 |
| Street Address |
458 MID CITIES BLVD |
| City | HURST |
| State | TX |
| Zip Code | 76054-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023239597 | Wes Kubo | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2007-05-01 |
| 1740722701 | Stone Ranch Dental Group, Pllc | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2016-11-08 |
| 1639534894 | Kinder Dental Care Pllc | Clinic/Center | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2015-12-15 |
| 1912380460 | Joshua L Mcphee | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2015-07-01 |
| 1316336282 | Radiant Ldp Pllc | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2015-01-15 |
| 1649533191 | Dental Provider Resources 3 | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054 | 2012-06-20 |
| 1700166162 | Wesley S. Kubo Dds, Pa | Dentist | 458 Mid Cities Blvd, Hurst, TX 76054-2430 | 2011-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942856224 | Nancy Lopez | Speech-Language Pathologist | 6168 Bentridge Rd, Hurst, TX 76054 | 2019-08-13 |
| 1942771134 | James L Thomason Md | Psychiatry & Neurology | 769 Lonesome Dove Trail, Hurst, TX 76054 | 2018-12-16 |
| 1114498672 | Alpha Hyperbarics Pllc | Preventive Medicine | 1845 Precinct Line Road, Ste 105, Hurst, TX 76054 | 2018-12-10 |
| 1922555234 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 809 W Harwood Rd Ste 103, Hurst, TX 76054 | 2016-09-02 |
| 1427422765 | Stephen Craig Sims | Dentist | 1725 Cimarron Trail, Suite 1, Hurst, TX 76054 | 2015-11-24 |
| 1629464342 | Meredith Drake | Pediatrics | 731 Martin Road, Hurst, TX 76054 | 2015-04-09 |
| 1104236454 | Jessica Shepard,ma,lpc | Counselor | 1817 Harwood Court, Hurst, TX 76054 | 2014-05-07 |
| 1801225016 | Hearing Essentials of Texas, Inc. | Clinic/Center | 672 Grapevine Hwy, Hurst, TX 76054 | 2013-11-07 |
| 1265787337 | Sarah Michele Talbott | Optometrist | 2817 Hurstview Dr., Hurst, TX 76054 | 2012-07-16 |
| 1174801617 | Robert Harry Levy | Dentist | 828 Harwood Rd, Tarrant County College Dental Hygiene Program, Hurst, TX 76054 | 2011-08-02 |
| Find all providers in zip 76054 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700496411 | Farhana Rahman | Dentist | 398 E Pipeline Rd, Hurst, TX 76053-5831 | 2020-08-06 |
| 1457397747 | Michael Jason Delgado | Dentist | 800 Forest Oaks Ln, Suite A, Hurst, TX 76053-4959 | 2006-06-22 |
| 1861611410 | Delgado Orthodontics P.a. | Dentist | 800 Forest Oaks Ln, Suite A, Hurst, TX 76053-4959 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989992 | Maxwell Oldham | Dentist | 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 | 2020-10-10 |
| 1154928943 | Amanda Gerlach | Dentist | 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 | 2020-10-05 |
| 1093324675 | Frisco Braces Pllc | Dentist | 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 | 2020-07-29 |
| 1316556061 | Prosper Braces Pllc | Dentist | 821 N Coleman St Ste 110, Prosper, TX 75078-2305 | 2020-07-29 |
| 1871118133 | Tardy Orthodontics PC | Dentist | 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 | 2020-06-12 |
| 1285256636 | Bear Dental Corp | Dentist | 210 N. Coit Rd., Mckinney, TX 75071 | 2020-05-08 |
| 1275155665 | Joanna Song | Dentist | 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 | 2020-05-08 |
| 1477175917 | Meredith Ann Williams | Dentist | 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 | 2020-05-06 |
| 1740809003 | Boss Orthodontics, Pllc | Dentist | 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 | 2020-04-15 |
| 1972138733 | Gabriel Senties Dds Ms Pllc | Dentist | 11153 Westwood Loop Ste 204, San Antonio, TX 78253-6533 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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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.