Organization Active NPI

Family Dental of McKinney

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1093058471
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25969 Issued in TX
Legal business name
FAMILY DENTAL OF MCKINNEY
Practice address
1321 N. Tennessee St.
Ste.108
McKinney, TX 75069
Phone
(469) 742-0793
Fax
(469) 742-9937
NPI assigned
Apr 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Dr. Irene Thammasithiboon, DDS.
Title
Owener
Phone
(469) 742-0793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25969 TX Primary

Addresses

Primary practice location

1321 N. Tennessee St.
Ste.108
McKinney, TX 75069

Mailing address

1321 N Tennessee St
Ste.108
McKinney, TX 75069-2142
Phone (469) 742-0793

National Provider Directory

National Provider Directory
Tax ID family
Family Dental of McKinney2 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.

Locations

1321 N Tennessee St
Ste 108
McKinney, TX 75069
Phone (469) 742-0793

NPI Registry JSON

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1093058471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N TENNESSEE ST",
            "address_2": "STE.108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750692142",
            "telephone_number": "469-742-0793",
            "fax_number": "469-742-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N. TENNESSEE ST.",
            "address_2": "STE.108",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "469-742-0793",
            "fax_number": "469-742-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL OF MCKINNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "THAMMASITHIBOON",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "OWENER",
        "authorized_official_telephone_number": "469-742-0793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.