NPIMap

Organization Active NPI

Texas Dental, P.a.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1508895418
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
18588 Issued in TX
Legal business name
TEXAS DENTAL, P.A.
Practice address
5132 Village Creek Dr
Ste.400
Plano, TX 75093-5064
Phone
(972) 381-1888
Fax
(972) 381-7003
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew S. Lazaris, D.D.S.NPI 1396895090
Title
Dentist/Co-Owener
Phone
(972) 381-1888

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18873 TX
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 18588 TX Primary

Addresses

Primary practice location

5132 Village Creek Dr
Ste.400
Plano, TX 75093-5064

Mailing address

5132 Village Creek Dr
Ste.400
Plano, TX 75093-5064
Phone (972) 381-1888

National Provider Directory

National Provider Directory

Locations

5132 Village Creek Dr
Ste 400
Plano, TX 75093
Phone (972) 381-1888

Practitioners & affiliated clinicians

Practitioners 3

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": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508895418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5132 VILLAGE CREEK DR",
            "address_2": "STE.400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935064",
            "telephone_number": "972-381-1888",
            "fax_number": "972-381-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 VILLAGE CREEK DR",
            "address_2": "STE.400",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935064",
            "telephone_number": "972-381-1888",
            "fax_number": "972-381-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAZARIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DENTIST/CO-OWENER",
        "authorized_official_telephone_number": "972-381-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18873",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "18588",
            "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 Aug 22, 2020; 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.