Organization Active NPI

Yoursmile Dentistry, PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1043584212
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24795 Issued in TX
Legal business name
YOURSMILE DENTISTRY, PLLC
Practice address
4670 McDermott Rd Ste 200
Plano, TX 75024-7791
Phone
(972) 335-5455
Fax
(972) 335-2040
NPI assigned
Mar 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sha Tao, D.M.D.NPI 1669601027
Title
Owner Dentist
Phone
(972) 335-5455

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 24795 TX Primary

Addresses

Primary practice location

4670 McDermott Rd Ste 200
Plano, TX 75024-7791

Mailing address

4670 McDermott Rd.
Suite#200
Plano, TX 75024
Phone (972) 335-5455

National Provider Directory

National Provider Directory

Locations

4670 McDermott Rd
Ste 200
Plano, TX 75024
Phone (972) 335-5455

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": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043584212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 MCDERMOTT RD.",
            "address_2": "SUITE#200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-335-5455",
            "fax_number": "972-335-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 MCDERMOTT RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247791",
            "telephone_number": "972-335-5455",
            "fax_number": "972-335-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOURSMILE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "SHA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "972-335-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24795",
            "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 Jul 21, 2022; 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.