NPIMap

Organization Active NPI

Parkway Vista Dental PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1427057678
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20179432 Issued in TX
Legal business name
PARKWAY VISTA DENTAL PLLC
Practice address
5072 W Plano Pkwy
Suite 250
Plano, TX 75093-4476
Phone
(972) 818-1300
Fax
(972) 818-1301
NPI assigned
Jul 19, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathryn L. Minton, DDSNPI 1366441271
Title
Owner
Phone
(972) 818-1300

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20179432 TX Primary

Addresses

Primary practice location

5072 W Plano Pkwy
Suite 250
Plano, TX 75093-4476

Mailing address

5072 W Plano Pkwy
Suite 250
Plano, TX 75093-4476
Phone (972) 818-1300

National Provider Directory

National Provider Directory

Locations

5072 W Plano Pkwy
Ste 250
Plano, TX 75093
Phone (972) 818-1300

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427057678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "address_2": "SUITE 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "972-818-1300",
            "fax_number": "972-818-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5072 W PLANO PKWY",
            "address_2": "SUITE 250",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934476",
            "telephone_number": "972-818-1300",
            "fax_number": "972-818-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY VISTA DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINTON",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-818-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20179432",
            "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 Aug 22, 2020; 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.