Active NPI
Prachi Deore, DDS
- General Practice Dentistry
- Coppell, TX
National Provider Identifier
1043430861
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22955
- Practice address
- 760 North Denton Tap Road
Ste 190
Coppell, TX 75019 - Phone
- (972) 315-2200
- Fax
- (972) 534-1223
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 22955 | TX | |
| General Practice Dentistry | 1223G0001X | 22955 | TX | Primary |
Addresses
Primary practice location
760 North Denton Tap Road
Ste 190
Coppell, TX 75019
Mailing address
760 North Denton Tap Road
Ste 190
Coppell, TX 75019
Phone (972) 315-2200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22955 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prachi Deore P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1043430861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 NORTH DENTON TAP ROAD",
"address_2": "STE 190",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-315-2200",
"fax_number": "972-534-1223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 NORTH DENTON TAP ROAD",
"address_2": "STE 190",
"city": "COPPELL",
"state": "TX",
"postal_code": "75019",
"telephone_number": "972-315-2200",
"fax_number": "972-534-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEORE",
"first_name": "PRACHI",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "22955",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "22955",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coppell, TX
- Rosa Laura Delatorre, FNP
- Daniel Rand Delorimiere, DC
- Delta Healthcare Placement
- Dental Health Associates of TX, P.C. (Complete Smiles Dentistry)
- Dental Practice Group LLC (Magnolia Park Dental/Flower Mound Dental)
- Dhruti Nishit Desai, FNP-C
- Yash Desai
- Destra Diagnostics
- Devlab (DevLab Bio)
- Hailey Dewolfe, M.ED, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.