NPIMap

Organization Active NPI

Pure Smile Dental, PA

  • Dentist
  • Plano, TX
National Provider Identifier
1184951410
Registry record updated Nov 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23299 Issued in TX
Legal business name
PURE SMILE DENTAL, PA
Practice address
280 Legacy Drive
Suite 105
Plano, TX 75023
Phone
(469) 441-0822
NPI assigned
Nov 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2009

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

Authorized official

Name
Dr. Hee Choung Kang, D.D.S.NPI 1700079464
Title
Dentist
Phone
(469) 441-0822

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23299 TX Primary

Addresses

Primary practice location

280 Legacy Drive
Suite 105
Plano, TX 75023

Mailing address

PO Box 260016
Plano, TX 75026-0016
Phone (469) 441-0822

National Provider Directory

National Provider Directory

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": "1257465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257465600000",
    "number": "1184951410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260016",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750260016",
            "telephone_number": "469-441-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 LEGACY DRIVE",
            "address_2": "SUITE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "469-441-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE SMILE DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-06",
        "last_updated": "2009-11-06",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "HEE",
        "authorized_official_middle_name": "CHOUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "469-441-0822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23299",
            "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 Nov 6, 2009; 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.