Organization Active NPI

Simply Good Dental, P.L.L.C.

  • Dental Clinic/Center
  • Plano, TX
National Provider Identifier
1255610895
Registry record updated Aug 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
20795 Issued in TX
Legal business name
SIMPLY GOOD DENTAL, P.L.L.C.
Practice address
4160 W Spring Creek Pkwy
A-300
Plano, TX 75024-5316
Phone
(972) 867-7883
NPI assigned
Aug 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2011

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

Authorized official

Name
Dr. Pintip Charunmethee, D.D.S., M.S.
Title
Manager
Phone
(972) 867-7883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 20795 TX Primary

Addresses

Primary practice location

4160 W Spring Creek Pkwy
A-300
Plano, TX 75024-5316

Mailing address

PO Box 662
Bedford, TX 76095-0662

National Provider Directory

National Provider Directory

Locations

4160 W Spring Creek Pkwy
#A300
Plano, TX 75024
Phone (972) 867-7883

NPI Registry JSON

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

{
    "created_epoch": "1313280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313280000000",
    "number": "1255610895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760950662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 W SPRING CREEK PKWY",
            "address_2": "A-300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245316",
            "telephone_number": "972-867-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLY GOOD DENTAL, P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-14",
        "last_updated": "2011-08-14",
        "status": "A",
        "authorized_official_last_name": "CHARUNMETHEE",
        "authorized_official_first_name": "PINTIP",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "972-867-7883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "20795",
            "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 Aug 14, 2011; 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.