CHILDREN 1ST DENTAL & SURGERY CENTER – NPI #1740561018
Clinic/Center

CHILDREN 1ST DENTAL & SURGERY CENTER is an AHC clinic located in GRAND PRAIRIE, TX. NPPES has assigned the NPI number 1740561018 to CHILDREN 1ST DENTAL & SURGERY CENTER on August 31, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHILDREN 1ST DENTAL & SURGERY CENTER” is a dba name, the actual legal business name for this organization is CHILDREN 1ST GRAND PRAIRIE, LLC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Nov 04, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN 1ST DENTAL & SURGERY CENTER below.

NPI Profile for
CHILDREN 1ST GRAND PRAIRIE, LLC

NPI Number
1740561018
Enumeration Date

(about 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN 1ST GRAND PRAIRIE, LLC
Doing Business As (dba): CHILDREN 1ST DENTAL & SURGERY CENTER
Primary location
3055 BARDIN RD # 400
GRAND PRAIRIE, TX 75052
Phone: (972) 279-1200 Fax:
Mailing address
9709 LAKESIDE BLVD STE 350
SPRING, TX 77381-1213
Phone: (713) 489-2198 Fax: (713) 489-2978
Organization Subpart
Yes - CHILDREN 1ST DENTAL & SURGERY CENTER is subpart of another organization.
Authorized Official
DEVIN LARSEN
CEO
Phone: (208) 340-1840
Updated
Certification Date
Nov 04, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CHILDREN 1ST DENTAL & SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX1740561018
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.