Active NPI
Andy Davong, D.D.S.
- Dentist
- Royse City, TX
National Provider Identifier
1235443391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25750
- Practice address
- 7406 W. State Highway 66
Royse City, TX 75189-4166 - Phone
- (972) 460-4422
- Fax
- (469) 723-3237
- NPI assigned
- Jul 31, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 25750 | TX | Primary |
Addresses
Primary practice location
7406 W. State Highway 66
Royse City, TX 75189-4166
Mailing address
7406 State Highway 66
Royse City, TX 75189-4166
Phone (972) 460-4422
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25750 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purely Dental Group PLLC S-Corp | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Royse City, TX
- NPI 1073940011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1235443391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7406 STATE HIGHWAY 66",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751894166",
"telephone_number": "972-460-4422",
"fax_number": "469-723-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7406 W. STATE HIGHWAY 66",
"city": "ROYSE CITY",
"state": "TX",
"postal_code": "751894166",
"telephone_number": "972-460-4422",
"fax_number": "469-723-3237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVONG",
"first_name": "ANDY",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-31",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "25750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Royse City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.