Organization Active NPI

CT Dental PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1467195040
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CT DENTAL PLLC
Practice address
3000 Custer Rd Ste 325
Plano, TX 75075-4405
Phone
(972) 265-9033
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Larry Tam, DDSNPI 1386083913
Title
Managing Partner
Phone
(972) 265-9033

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3000 Custer Rd Ste 325
Plano, TX 75075-4405

Mailing address

PO Box 1715
Allen, TX 75013-0030
Phone (469) 233-4148

Other names 1

  • Custerpoint Kids & Family Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3000 Custer Rd
Ste 325
Plano, TX 75075
Phone (972) 265-9033

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": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1467195040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1715",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750130030",
            "telephone_number": "469-233-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CUSTER RD STE 325",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754405",
            "telephone_number": "972-265-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "TAM",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-265-9033",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Custerpoint Kids & Family Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Custerpoint Kids & Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 31, 2022; 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.