The Dentist Off Main, Pllc
The Dentist Off Main, Pllc is a healthcare organization registered as General Practice Dentistry in Grapevine, TX, holding Type 2 (organization) NPI 1396184693 since 2013. The authorized official on file is Richard Luczak, Ceo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396184693 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | The Dentist Off Main, Pllc |
| Practice address | 1245 S. MAIN ST., SUITE 100, Grapevine, TX, 76051 |
| Phone | 8175271590 |
| Fax | 9404973010 |
| Enumeration date | 2013-06-19 |
| Last updated in NPPES | 2013-06-19 |
Authorized official
| Name | Richard Luczak |
|---|---|
| Title | Ceo |
| Phone | 8175271590 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 19398 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 870515 | Other | — | UNITED CONCORDIA |
Copy-ready billing details
Provider: The Dentist Off Main, Pllc NPI: 1396184693 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 1245 S. MAIN ST., SUITE 100, Grapevine, TX, 76051
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1285654806 | Charles Singleton | Individual | Podiatrist | Grapevine, TX |
| 1518065739 | Cherye Callegan | Individual | Psychiatry Physician | Grapevine, TX |
| 1497996177 | Lisa Shamblin | Individual | Psychiatric/Mental Health Nurse Practitioner | Grapevine, TX |
| 1407140916 | Carmen Pemberton | Individual | Psychiatric/Mental Health Nurse Practitioner | Grapevine, TX |
| 1861770760 | Advanced Psychiatric Solutions Pllc | Organization | Psychiatry Physician | Grapevine, TX |
Verify this record
Cross-check NPI 1396184693 against the authoritative CMS record: view The Dentist Off Main, Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for The Dentist Off Main, Pllc?
What is the NPI number for The Dentist Off Main, Pllc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2013-06-19.