Organization Active NPI

Pinnacle Dental

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1104918283
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20513 Issued in TX
Legal business name
PINNACLE DENTAL
Practice address
6313 Preston Road
Ste 100
Plano, TX 75024
Phone
(972) 801-2788
Fax
(972) 608-8878
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sandy Wang, DDS
Title
DDS
Phone
(972) 801-2788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20513 TX Primary

Addresses

Primary practice location

6313 Preston Road
Ste 100
Plano, TX 75024

Mailing address

6313 Preston Road
Ste 100
Plano, TX 75024
Phone (972) 801-2788

National Provider Directory

National Provider Directory

Locations

6313 Preston Rd
Ste 100
Plano, TX 75024
Phone (962) 801-2788

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": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104918283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6313 PRESTON ROAD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-801-2788",
            "fax_number": "972-608-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6313 PRESTON ROAD",
            "address_2": "STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75024",
            "telephone_number": "972-801-2788",
            "fax_number": "972-608-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "972-801-2788",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20513",
            "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 Aug 22, 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.