NPIMap

Organization Active NPI

Dental Impressions PC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1083870752
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22451 Issued in TX
Legal business name
DENTAL IMPRESSIONS PC
Practice address
909 W Spring Creek Pkwy
Suite 490
Plano, TX 75023-4472
Phone
(972) 943-5777
Fax
(972) 943-5780
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Dr. Sweeta Walia, D.M.D.
Title
Dentist
Phone
(972) 943-5777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22451 TX Primary

Addresses

Primary practice location

909 W Spring Creek Pkwy
Suite 490
Plano, TX 75023-4472

Mailing address

3401 Wolfe Cir
Plano, TX 75025-2227
Phone (214) 862-3100

Other names 1

  • Premier Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Impressions PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1083870752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 WOLFE CIR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750252227",
            "telephone_number": "214-862-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W SPRING CREEK PKWY",
            "address_2": "SUITE 490",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234472",
            "telephone_number": "972-943-5777",
            "fax_number": "972-943-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL IMPRESSIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "WALIA",
        "authorized_official_first_name": "SWEETA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-943-5777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 21, 2008; 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.