Active NPI
Ideal Dental North Prosper PLLC
- Dentist
- Prosper, TX
National Provider Identifier
1174332829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- IDEAL DENTAL NORTH PROSPER PLLC
- Practice address
- 201 W Frontier Pkwy Ste 30
Prosper, TX 75078 - Phone
- (214) 387-8820
- NPI assigned
- Jan 6, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Matthew Doan, DDS
- Title
- Owner
- Phone
- (972) 331-8067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
201 W Frontier Pkwy Ste 30
Prosper, TX 75078
Mailing address
PO Box 840925
Dallas, TX 75284-0925
Phone (972) 361-0600
National Provider Directory
National Provider DirectoryLocations
201 W Frontier Pkwy
Ste 30
Prosper, TX 75078
Phone (214) 387-8820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1174332829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 840925",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840925",
"telephone_number": "972-361-0600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W FRONTIER PKWY STE 30",
"city": "PROSPER",
"state": "TX",
"postal_code": "75078",
"telephone_number": "214-387-8820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IDEAL DENTAL NORTH PROSPER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-06",
"last_updated": "2025-01-06",
"certification_date": "2025-01-03",
"status": "A",
"authorized_official_last_name": "DOAN",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-331-8067",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prosper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.