NPIMap

Organization Active NPI

Esthetic Image Dentistry

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1497931109
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16956 Issued in TX
Legal business name
ESTHETIC IMAGE DENTISTRY
Practice address
4708 W Plano Pkwy Ste 100
Plano, TX 75093-5334
Phone
(972) 612-8388
Fax
(972) 612-4018
NPI assigned
Jan 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Jojo Cheung, DDSNPI 1811057011
Title
Owner
Phone
(972) 612-8388

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 16956 TX Primary

Addresses

Primary practice location

4708 W Plano Pkwy Ste 100
Plano, TX 75093-5334

Mailing address

4708 W Plano Pkwy Ste 100
Plano, TX 75093-5334
Phone (972) 612-8388

National Provider Directory

National Provider Directory

Locations

4708 W Plano Pkwy
Ste 100
Plano, TX 75093
Phone (972) 612-8388

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": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497931109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935334",
            "telephone_number": "972-612-8388",
            "fax_number": "972-612-4018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY STE 100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935334",
            "telephone_number": "972-612-8388",
            "fax_number": "972-612-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHETIC IMAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "CHEUNG",
        "authorized_official_first_name": "JOJO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-612-8388",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 20, 2008; 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.