Organization Active NPI

Plano Endodontics, PC

  • Endodontics
  • Plano, TX
National Provider Identifier
1154855823
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
PLANO ENDODONTICS, PC
Practice address
5072 W Plano Pkwy Ste 180
Plano, TX 75093-4469
Phone
(972) 713-6644
Fax
(972) 713-6794
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. Kimberly G Holt, D.D.S.
Title
Manager
Phone
(972) 713-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X TX Primary

Addresses

Primary practice location

5072 W Plano Pkwy Ste 180
Plano, TX 75093-4469

Mailing address

5072 W Plano Pkwy Ste 180
Plano, TX 75093-4469
Phone (972) 713-6644

National Provider Directory

National Provider Directory

Locations

5072 W Plano Pkwy
Ste 180
Plano, TX 75093
Phone (972) 713-6644

NPI Registry JSON

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1154855823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934469",
            "telephone_number": "972-713-6644",
            "fax_number": "972-713-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY STE 180",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934469",
            "telephone_number": "972-713-6644",
            "fax_number": "972-713-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO ENDODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-713-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.