Organization Active NPI

Clearvue Dentistry PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1396512455
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CLEARVUE DENTISTRY PLLC
Practice address
13021 Coit Rd Ste 100
Dallas, TX 75240-5700
Phone
(469) 249-9017
NPI assigned
Dec 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Leeshik ShinNPI 1912240672
Title
Owner
Phone
(469) 249-9017

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

13021 Coit Rd Ste 100
Dallas, TX 75240-5700

Mailing address

13021 Coit Rd Ste 100
Dallas, TX 75240-5700
Phone (469) 249-9017

Other names 1

  • Denturgent Doing business as

National Provider Directory

National Provider Directory

Locations

13021 Coit Rd
Ste 100
Dallas, TX 75240
Phone (469) 249-9017

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1396512455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13021 COIT RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405700",
            "telephone_number": "469-249-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13021 COIT RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405700",
            "telephone_number": "469-249-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVUE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "LEESHIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-249-9017"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denturgent",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.