Organization Active NPI

Emerson Doan LLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1164065165
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EMERSON DOAN LLC
Doing business as
Kids Smile Center
Practice address
3600 Communications Pkwy Ste 699
Plano, TX 75093-8158
Phone
(972) 537-5730
NPI assigned
Oct 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Authorized official

Name
My-Hanh Nguyen
Title
President
Phone
(972) 378-0404

Specialties & licenses 1

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

Addresses

Primary practice location

3600 Communications Pkwy Ste 699
Plano, TX 75093-8158

Mailing address

3600 Communications Pkwy Ste 699
Plano, TX 75093-8158
Phone (972) 378-0404

Other names 1

  • Kids Smile Center Doing business as

National Provider Directory

National Provider Directory

Locations

967 N Garden Ridge Blvd
Lewisville, TX 75077
Phone (972) 537-5730

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": "1571702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723593600000",
    "number": "1164065165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 COMMUNICATIONS PKWY STE 699",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938158",
            "telephone_number": "972-378-0404",
            "fax_number": "972-403-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 COMMUNICATIONS PKWY STE 699",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938158",
            "telephone_number": "972-537-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERSON DOAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MY-HANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-378-0404"
    },
    "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": "Kids Smile Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kids Smile Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 14, 2024; 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.