Organization Active NPI

Olive Family Dental Care PLLC

  • Dental Clinic/Center
  • Melissa, TX
National Provider Identifier
1366274037
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
OLIVE FAMILY DENTAL CARE PLLC
Doing business as
Main Dental of Melissa
Practice address
3310 Sam Rayburn Hwy
Suite 400
Melissa, TX 75454
Phone
(469) 213-2376
Fax
(469) 213-2378
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. Byung Kim, DMDNPI 1427587658
Title
President
Phone
(267) 984-6764

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3310 Sam Rayburn Hwy
Suite 400
Melissa, TX 75454

Mailing address

3821 Lockhart Dr
Prosper, TX 75078-3080
Phone (267) 984-6764

Other names 1

  • Main Dental of Melissa Doing business as

National Provider Directory

National Provider Directory

Locations

3310 Sam Rayburn Hwy
Ste 400
Melissa, TX 75454
Phone (469) 213-2376

3310 Sam Rayburn Hwy
Ste 500
Melissa, TX 75454

Practitioners & affiliated clinicians

Practitioners 1

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": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1366274037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 LOCKHART DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750783080",
            "telephone_number": "267-984-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 SAM RAYBURN HWY",
            "address_2": "SUITE 400",
            "city": "MELISSA",
            "state": "TX",
            "postal_code": "75454",
            "telephone_number": "469-213-2376",
            "fax_number": "469-213-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE FAMILY DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BYUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-984-6764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Dental of Melissa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Main Dental of Melissa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Melissa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.