NPIMap

Organization Active NPI

Lakepointe Dental

  • Dentist
  • Frisco, TX
National Provider Identifier
1043301435
Registry record updated Aug 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20505 Issued in TX
Legal business name
LAKEPOINTE DENTAL
Practice address
279 W Main St Ste 110
Frisco, TX 75034-4307
Phone
(469) 633-9925
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2007

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

Authorized official

Name
Mr. Pam Linavong
Title
Owner
Phone
(469) 633-9925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 20505 TX Primary

Addresses

Primary practice location

279 W Main St Ste 110
Frisco, TX 75034-4307

Mailing address

279 W Main St Ste 110
Frisco, TX 75034-4307
Phone (469) 633-9925

National Provider Directory

National Provider Directory

Locations

279 Main St
Ste 110
Frisco, TX 75036
Phone (469) 633-9925

Practitioners & affiliated clinicians

Practitioners 2

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186358400000",
    "number": "1043301435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 W MAIN ST STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344307",
            "telephone_number": "469-633-9925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 W MAIN ST STE 110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344307",
            "telephone_number": "469-633-9925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEPOINTE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-08-06",
        "status": "A",
        "authorized_official_last_name": "LINAVONG",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-633-9925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.