NPIMap

Organization Active NPI

Oak Tree Dental PLLC

  • Dentist
  • Sachse, TX
National Provider Identifier
1114176740
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20489 Issued in TX
Legal business name
OAK TREE DENTAL PLLC
Practice address
5120 Highway 78 Ste 400
Sachse, TX 75048-4244
Phone
(972) 414-2300
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Benhur W Kang, DDSNPI 1235140427
Title
Owner
Phone
(972) 414-2300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20489 TX Primary

Addresses

Primary practice location

5120 Highway 78 Ste 400
Sachse, TX 75048-4244

Mailing address

5120 Highway 78 Ste 400
Sachse, TX 75048-4244
Phone (972) 414-2300

National Provider Directory

National Provider Directory

Locations

5120 Highway 78
Ste 400
Sachse, TX 75048
Phone (972) 414-2300

Practitioners & affiliated clinicians

Practitioners 2

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": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1114176740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 78 STE 400",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484244",
            "telephone_number": "972-414-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 78 STE 400",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484244",
            "telephone_number": "972-414-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "BENHUR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-414-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.