Frisco Kids Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

19804 Issued in TX

Legal business name

FRISCO KIDS DENTISTRY

Practice address

6801 Warren Pkwy
Suite 115
Frisco, TX 75034-4174

Phone

(214) 618-5200

Fax

(214) 618-5201

NPI assigned

Apr 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Paul Irving Rubin, DDS

Title

Owner

Phone

(214) 618-5200

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Frisco Kids Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paul I Rubin DDS

  dba Frisco Kids Dentistry

  • Pediatric Dentistry
  • Frisco, TX
  • NPI 1174790935
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Timothy Field, DDS

  • Pediatric Dentistry
  • Frisco, TX
  • NPI 1871767343
  NPD (past)

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

{
    "created_epoch": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1467743450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 WARREN PKWY",
            "address_2": "SUITE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344174",
            "telephone_number": "214-618-5200",
            "fax_number": "214-618-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 WARREN PKWY",
            "address_2": "SUITE 115",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344174",
            "telephone_number": "214-618-5200",
            "fax_number": "214-618-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRISCO KIDS DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "IRVING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-618-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184453201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Frisco Medical Surgical Clinic
• Frisco Obstetrics and Gynecology, PA

• 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 Apr 25, 2011; 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.