Organization Active NPI

Texas Redbud Dental PC

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1194157016
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TEXAS REDBUD DENTAL PC
Practice address
1575 Redbud Blvd
Suite 103
McKinney, TX 75069-3226
Phone
(214) 585-0268
Fax
(214) 585-0284
NPI assigned
Aug 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Dr. Elizabeth S Goldman, D.D.S.NPI 1538381702
Title
Dentist/Owner
Phone
(214) 585-0268

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 SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1575 Redbud Blvd
Suite 103
McKinney, TX 75069-3226

Mailing address

1575 Redbud Blvd
Suite 103
McKinney, TX 75069-3226
Phone (214) 585-0268

National Provider Directory

National Provider Directory

Locations

1575 Redbud Blvd
Ste 103
McKinney, TX 75069
Phone (214) 585-0268

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": "1375315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1194157016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 REDBUD BLVD",
            "address_2": "SUITE 103",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693226",
            "telephone_number": "214-585-0268",
            "fax_number": "214-585-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 REDBUD BLVD",
            "address_2": "SUITE 103",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693226",
            "telephone_number": "214-585-0268",
            "fax_number": "214-585-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REDBUD DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-585-0268",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.