Individual provider Active NPI

Brenda Appiah

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1124573894
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
32277 Issued in TX
Practice address
5105 Eldorado Pkwy
Suite 150
Frisco, TX 75033-8674
Phone
(214) 387-0745
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 32277 TX Primary

Addresses

Primary practice location

5105 Eldorado Pkwy
Suite 150
Frisco, TX 75033-8674

Mailing address

4805 Cedar Crest Dr
McKinney, TX 75070-7758
Phone (469) 288-1968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170424002130 TX Order and Referring Only - DentistPractitioner - Dentist 2264718410

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32277TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Eldorado Smiles and Orthodontics,PC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1124573894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 CEDAR CREST DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707758",
            "telephone_number": "469-288-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5105 ELDORADO PKWY",
            "address_2": "SUITE 150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338674",
            "telephone_number": "214-387-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPIAH",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "32277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.