NPIMap

Organization Active NPI

Breckinridge Dental and Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richardson, TX
National Provider Identifier
1376921528
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
BRECKINRIDGE DENTAL AND ORTHODONTICS
Practice address
4150 E Renner Rd
Suite 400
Richardson, TX 75082-2816
Phone
(323) 898-3102
NPI assigned
May 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Authorized official

Name
Dr. Nathan Coughlin, DDSNPI 1972855179
Title
Owner
Phone
(323) 898-3102

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

4150 E Renner Rd
Suite 400
Richardson, TX 75082-2816

Mailing address

4150 E Renner Rd
#400
Richardson, TX 75082-2816
Phone (972) 248-9119

National Provider Directory

National Provider Directory

Locations

4150 E Renner Rd
Ste 400
Richardson, TX 75082
Phone (323) 898-3102

Practitioners & affiliated clinicians

Practitioners 2

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": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1376921528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 E RENNER RD",
            "address_2": "#400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822816",
            "telephone_number": "972-248-9119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 E RENNER RD",
            "address_2": "SUITE 400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822816",
            "telephone_number": "323-898-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRECKINRIDGE DENTAL AND ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "COUGHLIN",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-898-3102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.