In Spa Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

23128 Issued in TX

Legal business name

IN SPA DENTISTRY, PLLC

Practice address

8700 Preston Rd Ste 126
Plano, TX 75024-3321

Phone

(972) 668-0142

Fax

(972) 668-0143

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Nhi B Lam, DMD

Title

Dentist

Phone

(972) 668-0412

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1295904142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 PRESTON RD STE 126",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243321",
            "telephone_number": "972-668-0142",
            "fax_number": "972-668-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 PRESTON RD STE 126",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243321",
            "telephone_number": "972-668-0142",
            "fax_number": "972-668-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN SPA DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "NHI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-668-0412",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609096858",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.