Individual provider Active NPI

Pintip Charunmethee, DDS,MS

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1528116670
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20795 Issued in TX
Practice address
4801 Bryan St Ste 400
Dallas, TX 75204-8037
Phone
(214) 823-1181
Fax
(214) 823-1183
NPI assigned
Jan 8, 2007
Last updated
Oct 27, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20795 TX Primary
Prosthodontics 1223P0700X 20795 TX

Addresses

Primary practice location

4801 Bryan St Ste 400
Dallas, TX 75204-8037

Mailing address

PO Box 662
Bedford, TX 76095-0662
Phone (817) 875-9085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
20795TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225065600000",
    "number": "1528116670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 662",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760950662",
            "telephone_number": "817-875-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 BRYAN ST STE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752048037",
            "telephone_number": "214-823-1181",
            "fax_number": "214-823-1183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARUNMETHEE",
        "first_name": "PINTIP",
        "name_prefix": "Dr.",
        "credential": "DDS,MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20795",
            "primary": true
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "20795",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.