NPIMap

Organization Active NPI

Creek 75 Dental Group PC

Doing business as Optima Dentistry at plano

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1023314747
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CREEK 75 DENTAL GROUP PC
Doing business as
Optima Dentistry at plano
Practice address
101 W Spring Creek Pkwy
Suite 732
Plano, TX 75023-4624
Phone
(214) 415-9096
NPI assigned
Jan 27, 2011
Last updated
Jan 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Borhan Pajoohi, DMDNPI 1679753701
Title
Owner
Phone
(214) 415-9096

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

101 W Spring Creek Pkwy
Suite 732
Plano, TX 75023-4624

Mailing address

101 W Spring Creek Pkwy
Suite 732
Plano, TX 75023-4624
Phone (214) 415-9096

Other names 1

  • Optima Dentistry at plano Doing business as

National Provider Directory

National Provider Directory

Locations

101 W Spring Creek Pkwy
Ste 732
Plano, TX 75023
Phone (214) 415-9096

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1023314747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SPRING CREEK PKWY",
            "address_2": "SUITE 732",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234624",
            "telephone_number": "214-415-9096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SPRING CREEK PKWY",
            "address_2": "SUITE 732",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234624",
            "telephone_number": "214-415-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK 75 DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-27",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "PAJOOHI",
        "authorized_official_first_name": "BORHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-415-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optima Dentistry at plano",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.