NPIMap

Organization Active NPI

Lake Forest Family Dental PC

  • Dental Clinic/Center
  • McKinney, TX
National Provider Identifier
1023614872
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LAKE FOREST FAMILY DENTAL PC
Practice address
4987 W University Dr Ste 100
McKinney, TX 75071-5073
Phone
(972) 290-1505
NPI assigned
Dec 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Dr. Steve Hun Cha, DDSNPI 1164584249
Title
President
Phone
(805) 630-8092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4987 W University Dr Ste 100
McKinney, TX 75071-5073

Mailing address

14812 Rollover Pass LN
Frisco, TX 75035-1251
Phone (805) 630-8092

Other names 1

  • Lake Forest Dental Doing business as

National Provider Directory

National Provider Directory

Locations

4987 W University Dr
Ste 100
McKinney, TX 75071
Phone (972) 290-1505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1023614872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14812 ROLLOVER PASS LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351251",
            "telephone_number": "805-630-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4987 W UNIVERSITY DR STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750715073",
            "telephone_number": "972-290-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE FOREST FAMILY DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "HUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-630-8092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Forest Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.