Organization Active NPI

Prisma Dental

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1154576742
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23535 Issued in TX
Legal business name
PRISMA DENTAL
Practice address
5566 Main Street
Suite150
Frisco, TX 75034
Phone
(972) 731-9800
Fax
(972) 731-9801
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Margarita Maria Correa, D.D.SNPI 1346438314
Title
General Dentist
Phone
(678) 665-1643

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 23535 TX Primary

Addresses

Primary practice location

5566 Main Street
Suite150
Frisco, TX 75034

Mailing address

1701 Stillhouse Hollow Dr
Prosper, TX 75078-7202
Phone (972) 886-5493

National Provider Directory

National Provider Directory

Locations

5566 Main St
Ste 150
Frisco, TX 75033
Phone (214) 687-9374

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": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1154576742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 STILLHOUSE HOLLOW DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750787202",
            "telephone_number": "972-886-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5566 MAIN STREET",
            "address_2": "SUITE150",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-731-9800",
            "fax_number": "972-731-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "CORREA",
        "authorized_official_first_name": "MARGARITA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "678-665-1643",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.