Organization Active NPI

Fresh Dental and Orthodontics

  • Dentist
  • Plano, TX
National Provider Identifier
1326472887
Registry record updated Sep 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
16697 Issued in TX
Legal business name
FRESH DENTAL AND ORTHODONTICS
Practice address
1921 Preston Rd # 2010
Plano, TX 75093-5102
Phone
(972) 250-0048
Fax
(972) 250-0050
NPI assigned
Sep 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2013

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

Authorized official

Name
Dr. Kieu-Trinh Thi Dao, DDS
Title
DDS
Phone
(232) 232-5062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 16697 TX Primary

Addresses

Primary practice location

1921 Preston Rd # 2010
Plano, TX 75093-5102

Mailing address

1921 Preston Rd # 2010
Plano, TX 75093-5102
Phone (972) 250-0048

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1378080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378080000000",
    "number": "1326472887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD # 2010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935102",
            "telephone_number": "972-250-0048",
            "fax_number": "972-250-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 PRESTON RD # 2010",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935102",
            "telephone_number": "972-250-0048",
            "fax_number": "972-250-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-02",
        "last_updated": "2013-09-02",
        "status": "A",
        "authorized_official_last_name": "DAO",
        "authorized_official_first_name": "KIEU-TRINH",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "232-232-5062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "16697",
            "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 Sep 2, 2013; 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.