Organization Active NPI

JPNR Dental PLLC

Doing business as Fresca Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1144021726
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JPNR DENTAL PLLC
Doing business as
Fresca Dental
Practice address
10121 Lake June Rd Ste 118
Dallas, TX 75217-5345
Phone
(469) 930-2105
NPI assigned
Mar 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Faith Frost, DIRECTOR
Title
Credentialing Director
Phone
(630) 877-3520

Specialties & licenses 1

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

Addresses

Primary practice location

10121 Lake June Rd Ste 118
Dallas, TX 75217-5345

Mailing address

10121 Lake June Rd Ste 118
Dallas, TX 75217-5345
Phone (469) 930-2105

Other names 1

  • Fresca Dental Doing business as

National Provider Directory

National Provider Directory

Locations

10121 Lake June Rd
Ste 118
Dallas, TX 75217
Phone (469) 930-2105

NPI Registry JSON

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1144021726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 LAKE JUNE RD STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175345",
            "telephone_number": "469-930-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 LAKE JUNE RD STE 118",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752175345",
            "telephone_number": "469-930-2105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPNR DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "FROST",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING DIRECTOR",
        "authorized_official_telephone_number": "630-877-3520",
        "authorized_official_credential": "DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresca Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.