Active NPI
Custom Dental of McKinney, PLLC
- Dentist
- McKinney, TX
National Provider Identifier
1487055273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30322
- Legal business name
- CUSTOM DENTAL OF MCKINNEY, PLLC
- Practice address
- 6351 S Custer Rd
McKinney, TX 75070 - Phone
- (214) 310-2822
- NPI assigned
- Sep 11, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryce Michael Gates, DDS
- Title
- Doctor
- Phone
- (214) 310-2822
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30322 | TX | Primary |
Addresses
Primary practice location
6351 S Custer Rd
McKinney, TX 75070
Mailing address
6351 S Custer Rd
McKinney, TX 75070
Phone (214) 310-2822
National Provider Directory
National Provider DirectoryLocations
6351 S Custer Rd
McKinney, TX 75070
Phone (214) 310-2822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410393600000",
"number": "1487055273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6351 S CUSTER RD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "214-310-2822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6351 S CUSTER RD",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "214-310-2822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUSTOM DENTAL OF MCKINNEY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-09-11",
"last_updated": "2014-09-11",
"status": "A",
"authorized_official_last_name": "GATES",
"authorized_official_first_name": "BRYCE",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "214-310-2822",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "30322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.