Organization Active NPI

Kathrina Carrasco Dental Services, PLLC

  • Pediatric Dentistry
  • Plano, TX
National Provider Identifier
1417593302
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KATHRINA CARRASCO DENTAL SERVICES, PLLC
Practice address
6513 Preston Rd Ste 500
Plano, TX 75024-2711
Phone
(972) 378-6762
Fax
(972) 378-6771
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Dr. Kathrina Carrasco, DDS
Title
Dentist/Owner
Phone
(805) 551-9058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6513 Preston Rd Ste 500
Plano, TX 75024-2711

Mailing address

6513 Preston Rd Ste 500
Plano, TX 75024-2711
Phone (972) 378-6762

Other names 1

  • Smile Island Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1417593302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242711",
            "telephone_number": "972-378-6762",
            "fax_number": "972-378-6771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 PRESTON RD STE 500",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750242711",
            "telephone_number": "972-378-6762",
            "fax_number": "972-378-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHRINA CARRASCO DENTAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "KATHRINA",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "805-551-9058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Island Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 26, 2019; 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.