Renew Family Dentistry

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

RENEW FAMILY DENTISTRY

Practice address

5575 Warren Pkwy
Suite 324
Frisco, TX 75034

Phone

(469) 633-0550

Fax

(214) 705-0529

NPI assigned

May 2, 2019

Organization subpart

No

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

Authorized official

Name

Joshua Farley Maxwell, DDS

Title

Owner/Dentist

Phone

(469) 633-0550

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1225693575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "SUITE 324",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-633-0550",
            "fax_number": "214-705-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 WARREN PKWY",
            "address_2": "SUITE 324",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75034",
            "telephone_number": "469-633-0550",
            "fax_number": "214-705-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-02",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "FARLEY",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "469-633-0550",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reliassure Home Care Agency LLC
• Renal Center of Frisco, LLC (Renal Center of Frisco)
• Bobby Cineus Renaud
• Alexis Rene, BT
• Renew Dental P.C (Renew Family Dentistry)
• Renew Family Dentistry PLLC
• Renew Health Lounge, LLC
• Renew Nutrition Solutions
• Payton Renner, RBT
• Reproductive Specialists of Texas

• General Practice Dentistry in Frisco, TX
• Providers in Frisco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; 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.