Active NPI
Northpark Dental Associates
- General Practice Dentistry
- McKinney, TX
National Provider Identifier
1265708481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15072
- Legal business name
- NORTHPARK DENTAL ASSOCIATES
- Practice address
- 1575 Redbud Blvd Ste 103
McKinney, TX 75069-3385 - Phone
- (214) 585-0268
- NPI assigned
- Apr 2, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Julie Neubach, D.D.S.
- Title
- Dentist/Owner
- Phone
- (214) 585-0268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15072 | TX | Primary |
Addresses
Primary practice location
1575 Redbud Blvd Ste 103
McKinney, TX 75069-3385
Mailing address
1575 Redbud Blvd Ste 103
McKinney, TX 75069-3385
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090355103 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- McKinney, TX
- NPI 1538381702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333324800000",
"number": "1265708481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 REDBUD BLVD STE 103",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 REDBUD BLVD STE 103",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750693385",
"telephone_number": "214-585-0268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHPARK DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A",
"authorized_official_last_name": "NEUBACH",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "214-585-0268",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "15072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090355103",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McKinney, TX
- North Texas Pharmacy, LLC
- North Texas Sinus, P.a.
- North Texas Therapy Innovations, PC
- North Texas Transit Company
- Michelle Northam, LCSW-C
- Northtexas Center for Minimallyinvasive Gynecologic and Pelvic Surgery
- James Kent Norwood, D.D.S.
- John W. Norwood, DDS
- Ricardo Ignacio Nouel P.
- Nourish Feeding Therapy PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.