Organization Active NPI

Deeann Bennett, D.D.S., P.a.

  • General Practice Dentistry
  • Coppell, TX
National Provider Identifier
1124239066
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19883 Issued in TX
Legal business name
DEEANN BENNETT, D.D.S., P.A.
Practice address
220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5098
Phone
(972) 462-9000
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Deeann Migyanka Bennett, D.D.S.NPI 1740490994
Title
Director
Phone
(972) 462-9000

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19883 TX Primary

Addresses

Primary practice location

220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5098

Mailing address

220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5098
Phone (972) 462-9000

Other names 1

  • Deeann L. Migyanka, D.D.S., P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

220 S Denton Tap Rd
Ste 102
Coppell, TX 75019
Phone (469) 619-6319

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": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124239066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD",
            "address_2": "SUITE 102",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195098",
            "telephone_number": "972-462-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S DENTON TAP RD",
            "address_2": "SUITE 102",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195098",
            "telephone_number": "972-462-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEANN BENNETT, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DEEANN",
        "authorized_official_middle_name": "MIGYANKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-462-9000",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deeann L. Migyanka, D.D.S., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coppell, 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.