Organization Active NPI

Frisco Elm Dental PLLC

  • Dentist
  • Little Elm, TX
National Provider Identifier
1437524451
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24367 Issued in TX
Legal business name
FRISCO ELM DENTAL PLLC
Practice address
2043 FM 423 Ste 100
Little Elm, TX 75068
Phone
(214) 705-7100
NPI assigned
Dec 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Vidya S Suri, DDS
Title
Dentist/Owner
Phone
(214) 703-6900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 24367 TX Primary

Addresses

Primary practice location

2043 FM 423 Ste 100
Little Elm, TX 75068

Mailing address

663 Creekway Dr
Irving, TX 75039
Phone (650) 793-6821

National Provider Directory

National Provider Directory

Locations

2043 FM 423
Ste 100
Little Elm, TX 75068
Phone (214) 705-7100

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": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1437524451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "663 CREEKWAY DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75039",
            "telephone_number": "650-793-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 FM 423 STE 100",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "75068",
            "telephone_number": "214-705-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO ELM DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SURI",
        "authorized_official_first_name": "VIDYA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "214-703-6900",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.