Organization Active NPI

Damon Dental and Implant Center, PLLC

  • Dentist
  • Richardson, TX
National Provider Identifier
1083145460
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27147 Issued in TX
Legal business name
DAMON DENTAL AND IMPLANT CENTER, PLLC
Practice address
100 N Central Expy Ste 130
Richardson, TX 75080-5332
Phone
(972) 808-6008
Fax
(972) 808-6009
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dr. Gordon Clark Damon Jr., DDS
Title
Owner/President
Phone
(806) 584-7991

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27147 TX Primary
Dental Clinic/Center 261QD0000X 27147 TX

Addresses

Primary practice location

100 N Central Expy Ste 130
Richardson, TX 75080-5332

Mailing address

100 N Central Expy Ste 130
Richardson, TX 75080-5332
Phone (972) 808-6008

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1083145460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-808-6008",
            "fax_number": "972-808-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 130",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805332",
            "telephone_number": "972-808-6008",
            "fax_number": "972-808-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMON DENTAL AND IMPLANT CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "DAMON",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "806-584-7991",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "27147",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "27147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.