NPIMap

Organization Active NPI

Vitality Dental, PLLC

  • Dentist
  • Plano, TX
National Provider Identifier
1043673304
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28242 Issued in TX
Legal business name
VITALITY DENTAL, PLLC
Practice address
2329 Coit Rd
Suite a
Plano, TX 75075-3796
Phone
(972) 964-3800
NPI assigned
Apr 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Authorized official

Name
Dr. Andrew Kung, DDSNPI 1598010548
Title
Member
Phone
(972) 964-3800

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 28242 TX Primary

Addresses

Primary practice location

2329 Coit Rd
Suite a
Plano, TX 75075-3796

Mailing address

2329 Coit Rd
Suite a
Plano, TX 75075-3796
Phone (972) 964-3800

National Provider Directory

National Provider Directory

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": "1459641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1043673304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 COIT RD",
            "address_2": "SUITE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753796",
            "telephone_number": "972-964-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 COIT RD",
            "address_2": "SUITE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753796",
            "telephone_number": "972-964-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-03",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "KUNG",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "972-964-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "28242",
            "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 Apr 28, 2016; 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.