Organization Active NPI

Parkhaven Dental Care, PLLC

  • Dental Clinic/Center
  • Plano, TX
National Provider Identifier
1033755954
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PARKHAVEN DENTAL CARE, PLLC
Practice address
5961 Dallas Pkwy Ste 600
Plano, TX 75093-8519
Phone
(972) 416-2330
NPI assigned
Nov 26, 2019
Last updated
Nov 26, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Lisa Govinchuck
Title
Operations Manager
Phone
(972) 416-2330

Specialties & licenses 1

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

Addresses

Primary practice location

5961 Dallas Pkwy Ste 600
Plano, TX 75093-8519

Mailing address

5961 Dallas Pkwy Ste 600
Plano, TX 75093-8519
Phone (972) 416-2330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1033755954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 DALLAS PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938519",
            "telephone_number": "972-416-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 DALLAS PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938519",
            "telephone_number": "972-416-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKHAVEN DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "GOVINCHUCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "972-416-2330"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 26, 2019; 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.