Individual provider Active NPI

John Sengson, DDS

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1497845465
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
17236 Issued in TX
Practice address
204 Coit Rd Ste 100
Plano, TX 75075-5718
Phone
(972) 309-1600
Fax
(972) 309-1601
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 17236 TX Primary

Addresses

Primary practice location

204 Coit Rd Ste 100
Plano, TX 75075-5718

Mailing address

204 Coit Rd Ste 100
Plano, TX 75075-5718
Phone (972) 309-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000159 TX Order and Referring Only - DentistPractitioner - Dentist 5799075065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17236TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1497845465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 COIT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755718",
            "telephone_number": "972-309-1600",
            "fax_number": "972-309-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 COIT RD STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755718",
            "telephone_number": "972-309-1600",
            "fax_number": "972-309-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENGSON",
        "first_name": "JOHN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.