Organization Active NPI

Ma1Holdings Dba Proactive Dental

Doing business as Proactive Dental

  • Dentist
  • Plano, TX
National Provider Identifier
1265304893
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MA1HOLDINGS DBA PROACTIVE DENTAL
Doing business as
Proactive Dental
Practice address
5933 Dallas Pkwy Ste 100
Plano, TX 75093-8521
Phone
(972) 781-1880
Fax
(972) 781-0588
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Dr. Bobby Jivnani, DDS
Title
President Ceo
Phone
(972) 781-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

5933 Dallas Pkwy Ste 100
Plano, TX 75093-8521

Mailing address

5933 Dallas Pkwy Ste 100
Plano, TX 75093-8521
Phone (972) 781-1880

Other names 1

  • PROACTIVE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

5933 Dallas Pkwy
Ste 100
Plano, TX 75093
Phone (972) 781-1880

Practitioners & affiliated clinicians

Practitioners 2

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": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1265304893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938521",
            "telephone_number": "972-781-1880",
            "fax_number": "972-781-0588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5933 DALLAS PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938521",
            "telephone_number": "972-781-1880",
            "fax_number": "972-781-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MA1HOLDINGS DBA PROACTIVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "JIVNANI",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "972-781-1880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROACTIVE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 29, 2025; 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.