Organization Active NPI

CKV Pediatric Dentistry PLLC

Doing business as Happy Kids Pediatric Dentistry

  • Pediatric Dentistry
  • Frisco, TX
National Provider Identifier
1386363760
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
CKV PEDIATRIC DENTISTRY PLLC
Doing business as
Happy Kids Pediatric Dentistry
Practice address
1618 FM 423 Ste 100
Frisco, TX 75033-0040
Phone
(617) 331-6541
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Authorized official

Name
Dr. Yi-Ju Chen, DDSNPI 1629104740
Title
President
Phone
(617) 331-6541

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
Pediatric Dentistry 1223P0221X Primary

Addresses

Primary practice location

1618 FM 423 Ste 100
Frisco, TX 75033-0040

Mailing address

127 Rolling Fork BND
Irving, TX 75039-3805
Phone (617) 331-6541

Other names 1

  • Happy Kids Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1618 FM 423
Ste 100
Frisco, TX 75033
Phone (617) 331-6541

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661472000000",
    "number": "1386363760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ROLLING FORK BND",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393805",
            "telephone_number": "617-331-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 FM 423 STE 100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750330040",
            "telephone_number": "617-331-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CKV PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "YI-JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-331-6541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Kids Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.