Organization Active NPI

Thrive Dental Allen PLLC

  • Public Health Dentistry
  • Allen, TX
National Provider Identifier
1043840069
Registry record updated Jan 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health DentistryTaxonomy code 1223D0001X
Legal business name
THRIVE DENTAL ALLEN PLLC
Practice address
1010 W Exchange Pkwy
#130
Allen, TX 75013
Phone
(323) 898-3102
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2020

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

Authorized official

Name
Dr. Nathan Coughlin, DDS
Title
Owner
Phone
(323) 898-3102

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223D0001X Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X

Addresses

Primary practice location

1010 W Exchange Pkwy
#130
Allen, TX 75013

Mailing address

5822 Vickery Blvd
Dallas, TX 75206-6336

Other names 1

  • Thrive Dental and Orthodontics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.thrivedentist.com

National Provider Directory

National Provider Directory

Locations

1010 W Exchange Pkwy
#130
Allen, TX 75013
Phone (323) 898-3102

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579219200000",
    "number": "1043840069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5822 VICKERY BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W EXCHANGE PKWY",
            "address_2": "#130",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "323-898-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE DENTAL ALLEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-898-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Dental Public Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.thrivedentist.com",
            "affiliation": "N",
            "address_1": "1010 W Exchange Pkwy",
            "address_2": "#130",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "75013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Thrive Dental and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.