Organization Active NPI

North Richardson Dentistry Associates, PC

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1437553401
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22204 Issued in TX
Legal business name
NORTH RICHARDSON DENTISTRY ASSOCIATES, PC
Practice address
610 Old Campbell Rd
Suite 116
Richardson, TX 75080-3379
Phone
(972) 231-2576
Fax
(972) 235-4491
NPI assigned
Oct 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Authorized official

Name
An Quoc Le, D.D.S.
Title
Owner
Phone
(972) 231-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 22204 TX Primary

Addresses

Primary practice location

610 Old Campbell Rd
Suite 116
Richardson, TX 75080-3379

Mailing address

4637 Hedgcoxe Rd
Suite 112
Plano, TX 75024-3962
Phone (972) 377-8866

National Provider Directory

National Provider Directory

Locations

610 Old Campbell Rd
Ste 116
Richardson, TX 75080
Phone (972) 231-2576

Practitioners & affiliated clinicians

Practitioners 1

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": "1413763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1437553401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 HEDGCOXE RD",
            "address_2": "SUITE 112",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243962",
            "telephone_number": "972-377-8866",
            "fax_number": "972-377-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 OLD CAMPBELL RD",
            "address_2": "SUITE 116",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803379",
            "telephone_number": "972-231-2576",
            "fax_number": "972-235-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RICHARDSON DENTISTRY ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-20",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-231-2576",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.