BEAR CREEK FAMILY DENTISTRY (NPI# 1396125118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396125118 |
| Entity Type | Organization |
| Organization Name | BEAR CREEK FAMILY DENTISTRY |
| Practice Address |
2221 W Ledbetter Dr Dallas TX 75224-4713 |
| Practice Telephone | 2142348444 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2015-06-06 |
| Authorized Official Name | BRODERICK MONDY (MANAGER) |
| Authorized Official Telephone | 2142348444 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 25694 | TX | Managed Care Organizations |
| Street Address |
2221 W LEDBETTER DR |
| City | DALLAS |
| State | TX |
| Zip Code | 75224-4713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497067656 | Bradley M Murray | Dentist | 2221 W Ledbetter Dr, Suite 100, Dallas, TX 75224-4713 | 2010-07-04 |
| 1952673584 | Jennifer Anh-thu Truong | Dentist | 2221 W Ledbetter Dr, Dallas, TX 75224-4713 | 2012-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1821523317 | Hao Anh Dang | Dentist | 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 | 2017-04-22 |
| 1568820009 | Ashley Nicole Green | Dentist | 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 | 2016-01-28 |
| 1194138867 | Laurie Smith | Licensed Vocational Nurse | 3622 S Tyler St, Dallas, TX 75224 | 2014-06-10 |
| 1346667474 | Sherry Diann Flewellen-ervin | Counselor | 501 Wynnwood Village, Dallas, TX 75224 | 2014-03-26 |
| 1326381880 | Mercy Housecall Physicians Group, LLC | Clinic/Center | 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 | 2013-04-03 |
| 1437416971 | Masako Nishio M.d., P.a. | Anesthesiology | 2929 South Hampton Rd, Dallas, TX 75224 | 2012-04-23 |
| 1306119177 | Truevision Eye Care P.a. | Optometrist | 911 Wynnewood Village, Dallas, TX 75224 | 2012-02-09 |
| 1639449358 | Access Dental of Illinois Pa | Dentist | 2304 W Illinois Ave, Dallas, TX 75224 | 2012-01-11 |
| 1659649317 | Shambresha Lanette Sewell | Assisted Living Facility | 3911 Morning Spring Trl, Dallas, TX 75224 | 2011-12-09 |
| Find all providers in zip 75224 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093247959 | Swift Provider Inc | Preferred Provider Organization | 9205 Skillman St Ste 125, Dallas, TX 75243-9042 | 2017-03-30 |
| 1063955334 | Traveling Doctors, LLC | Preferred Provider Organization | 8508 Sikorski Ln, Dallas, TX 75228-5447 | 2016-11-18 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1538561675 | Linda's Home Health Care | Preferred Provider Organization | 10204 Hillhouse Ln, Dallas, TX 75227-7648 | 2014-09-19 |
| 1316200686 | Love Rx Pharmacy | Preferred Provider Organization | 1625 W Mockingbird Ln, Ste 206, Dallas, TX 75235-5077 | 2012-06-20 |
| 1164669974 | Shatorya Ann Modkins | Preferred Provider Organization | 4342 Lashley Dr, Dallas, TX 75232-1186 | 2009-01-15 |
| 1487872628 | Dallas Metrocare Services | Preferred Provider Organization | 901 South Ervay, Dallas, TX 75201 | 2007-04-23 |
| 1023120698 | Pediatric Ent Associates | Preferred Provider Organization | 8325 Walnut Hill Ln Ste 100, Dallas, TX 75231-4262 | 2006-08-31 |
| 1427615061 | Veritas Medical Professionals | Preferred Provider Organization | 15240 Dallas Pkwy, Dallas, TX 75248-4610 | 2019-05-20 |
| 1982057386 | Kachepa Group Dental | Preferred Provider Organization | 12250 Inwood Rd Ste 4, Dallas, TX 75244-8021 | 2016-07-20 |
| 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.