SKM Dentistry Frisco PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SKM DENTISTRY FRISCO PLLC

Practice address

14725 Lebanon Rd Ste 200
Frisco, TX 75035-5531

Phone

(214) 534-1915

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Sara Khalid Mahmood, DDS

Title

Owner/Dentist

Phone

(214) 534-1915

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• brush365 Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1467008904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 KATE DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750343918",
            "telephone_number": "214-534-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14725 LEBANON RD STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750355531",
            "telephone_number": "214-534-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKM DENTISTRY FRISCO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "KHALID",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "214-534-1915",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DDS",
            "identifier": "31029",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brushhurst.dentrixascend.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14725 Lebanon Rd Ste 200",
            "city": "Frisco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750355531",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "brush365",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Frisco, TX
• Providers in Frisco, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.