=====================================================
General NPI Number Information
=====================================================
NPI Number | 1245047323
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ONE HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2024
-----------------------------------------------------
Last Update Date | 08/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4801 S BUCKNER BLVD STE 8004801S
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75227-2373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-275-4808
-----------------------------------------------------
Fax | 281-916-6479
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4801 S BUCKNER BLVD STE 8004801S
-----------------------------------------------------
City | DALLAS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75227-2373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-249-3003
-----------------------------------------------------
Fax | 281-916-6447
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OPERATIONS AND BILLING SPECIALIST
-----------------------------------------------------
Name | MARTHA ANAYA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 949-484-3239
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 122300000X
-----------------------------------------------------
Taxonomy Name | Dentist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------