Organization Active NPI

McKinney Dental Group and Orthodontics, PC

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1407010697
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MCKINNEY DENTAL GROUP AND ORTHODONTICS, PC
Practice address
3610 W University Dr Ste 400
McKinney, TX 75071-2952
Phone
(972) 548-9956
Fax
(972) 692-8468
NPI assigned
Jul 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Dr. Kavitha Nagaruru, DMD
Title
Owner Doctor
Phone
(972) 548-9956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3610 W University Dr Ste 400
McKinney, TX 75071-2952

Mailing address

17000 Red Hill Ave
Irvine, CA 92614-5626
Phone (714) 845-8890

Other names 1

  • MCKINNEY DENTAL GROUP AND ORTHODONTICS Doing business as

National Provider Directory

National Provider Directory

Locations

3610 W University Dr
Ste 400
McKinney, TX 75071
Phone (972) 548-9956

Practitioners & affiliated clinicians

Practitioners 3

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": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1407010697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 W UNIVERSITY DR STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712952",
            "telephone_number": "972-548-9956",
            "fax_number": "972-692-8468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKINNEY DENTAL GROUP AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "NAGARURU",
        "authorized_official_first_name": "KAVITHA",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "972-548-9956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCKINNEY DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCKINNEY DENTAL GROUP AND ORTHODONTICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.