Individual provider Active NPI

Michael Alan Pincus, DDS

  • Dentist
  • Plano, TX
National Provider Identifier
1427367713
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13380 Issued in TX
Practice address
5961 N Dallas Pkwy
Unit 600
Plano, TX 75093-7899
Phone
(972) 416-2330
Fax
(469) 368-2650
NPI assigned
Oct 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13380 TX Primary

Addresses

Primary practice location

5961 N Dallas Pkwy
Unit 600
Plano, TX 75093-7899

Mailing address

5961 N Dallas Pkwy
Unit 600
Plano, TX 75093-8519
Phone (972) 416-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150608002476 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0446576623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Royse City Dental PC Current Accepting new patients
Carrollton Dental Associates Inc Dentist PastSince Dec 8, 1982 Accepting new patients

Locations

5961 Dallas Pkwy
Ste 600
Plano, TX 75093
Phone (972) 416-2330

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1427367713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 N DALLAS PKWY",
            "address_2": "UNIT 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938519",
            "telephone_number": "972-416-2330",
            "fax_number": "469-368-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 N DALLAS PKWY",
            "address_2": "UNIT 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937899",
            "telephone_number": "972-416-2330",
            "fax_number": "469-368-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.