Richardspn Dental Professionals

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

11808 Issued in TX

Legal business name

RICHARDSPN DENTAL PROFESSIONALS

Practice address

700 E Campbell Rd
Ste. #240
Richardson, TX 75081-2041

Phone

(972) 690-6653

Fax

(972) 680-8757

NPI assigned

Apr 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kerry Maxwell Goad, DDS

Title

General Dentist

Phone

(972) 690-6653

Specialties & licenses 1

Addresses

Other names 1

• Richardson Cosmetic Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nazayat Parvez, DDS

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1871086025
  NPD (past)
• Sarah Emily Sauer, DDS

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1942873039
  NPD (past)

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1306232764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD",
            "address_2": "STE. #240",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812041",
            "telephone_number": "972-690-6653",
            "fax_number": "972-680-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E CAMPBELL RD",
            "address_2": "STE. #240",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750812041",
            "telephone_number": "972-690-6653",
            "fax_number": "972-680-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSPN DENTAL PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "GOAD",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "972-690-6653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "11808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richardson Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richardson TX Homecare LLC
• Richardson Vision & Contact Lens Clinic, PC
• Richardson Vision Center
• Richardson Vision LLC
• Richardson Walk in Clinic PLLC
• Taylor Richie
• Richland Oaks Counseling Center
• Richland Oaks Psychological Associates
• Judith Ann Rickard
• Kimberly Allison Ridout, PT

• Preferred Provider Organization in Richardson, TX
• Providers in Richardson, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.