Organization Active NPI

Dental Spa of Texas PC

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1154656171
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20627 Issued in TX
Legal business name
DENTAL SPA OF TEXAS PC
Practice address
2995 Preston Road
# 1500
Frisco, TX 75034
Phone
(972) 377-8177
Fax
(972) 377-4377
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Dr. Rachel C Azinge, DDSNPI 1801975867
Title
President
Phone
(972) 377-8177

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 20627 TX Primary

Addresses

Primary practice location

2995 Preston Road
# 1500
Frisco, TX 75034

Mailing address

2995 Preston Road
Suite # 1500
Frisco, TX 75034
Phone (972) 377-8177

National Provider Directory

National Provider Directory

Locations

2995 Preston Rd
Ste 1500
Frisco, TX 75034
Phone (972) 242-2155

Practitioners & affiliated clinicians

Practitioners 2

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": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1154656171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 PRESTON ROAD",
            "address_2": "SUITE # 1500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-377-8177",
            "fax_number": "972-377-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 PRESTON ROAD",
            "address_2": "# 1500",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "972-377-8177",
            "fax_number": "972-377-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPA OF TEXAS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "AZINGE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-377-8177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20627",
            "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 Dec 19, 2016; 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.