Organization Active NPI

Texas Prime Dental Group PC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1407479389
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TEXAS PRIME DENTAL GROUP PC
Practice address
4637 Hedgcoxe Rd Ste 112
Plano, TX 75024-3963
Phone
(972) 377-8866
Fax
(972) 649-6223
NPI assigned
May 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
An Quoc Le, DDS
Title
Dentist
Phone
(832) 244-6157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4637 Hedgcoxe Rd Ste 112
Plano, TX 75024-3963

Mailing address

2221 Loring Dr
Allen, TX 75013-5840
Phone (832) 244-6157

Other practice location 1

2535 Firewheel Pkwy Ste 500
Garland, TX 75040-2896
Phone (972) 495-5618

Other practice location 2

1546 Stacy Rd Ste 130
Allen, TX 75002-8727
Phone (972) 649-6221

Other practice location 3

7324 Gaston Ave Ste 121
Dallas, TX 75214-6159
Phone (214) 348-2320

Other practice location 4

3920 McDermott Rd Ste B
Plano, TX 75025-4406
Phone (469) 649-1990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address an.le@primedds.com Direct

National Provider Directory

National Provider Directory

Locations

2535 Firewheel Pkwy
Ste 500
Garland, TX 75040
Phone (972) 495-5618

3920 McDermott Rd
Ste B
Plano, TX 75025
Phone (469) 269-6190

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": "1590451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1407479389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 LORING DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135840",
            "telephone_number": "832-244-6157",
            "fax_number": "972-848-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD STE 112",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243963",
            "telephone_number": "972-377-8866",
            "fax_number": "972-649-6223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Firewheel Pkwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750402896",
            "country_code": "US",
            "telephone_number": "972-495-5618",
            "fax_number": "972-649-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1546 Stacy Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750028727",
            "country_code": "US",
            "telephone_number": "972-649-6221",
            "fax_number": "972-649-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7324 Gaston Ave Ste 121",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752146159",
            "country_code": "US",
            "telephone_number": "214-348-2320",
            "fax_number": "972-649-6223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 McDermott Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750254406",
            "country_code": "US",
            "telephone_number": "469-649-1990",
            "fax_number": "972-649-6223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS PRIME DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-26",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-244-6157",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "an.le@primedds.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2221 Loring Dr",
            "city": "Allen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750135840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.