NPIMap

Organization Active NPI

Spring Creek Dental Group PLLC

  • Dentist
  • Plano, TX
National Provider Identifier
1407587868
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SPRING CREEK DENTAL GROUP PLLC
Practice address
101 W Spring Creek Pkwy Ste 732
Plano, TX 75023-4631
Phone
(972) 517-4282
NPI assigned
Jun 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Authorized official

Name
Mohammad RonaghiNPI 1053982058
Title
President/Owner
Phone
(972) 517-4282

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

101 W Spring Creek Pkwy Ste 732
Plano, TX 75023-4631

Mailing address

101 W Spring Creek Pkwy Ste 732
Plano, TX 75023-4631

National Provider Directory

National Provider Directory

Locations

101 W Spring Creek Pkwy
Ste 732
Plano, TX 75023
Phone (214) 415-9096

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": "1655424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1407587868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SPRING CREEK PKWY STE 732",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W SPRING CREEK PKWY STE 732",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750234631",
            "telephone_number": "972-517-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CREEK DENTAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "RONAGHI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "972-517-4282"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Jun 17, 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.