Organization Active NPI

Preston Ridge Dental

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1548533391
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22184 Issued in TX
Legal business name
PRESTON RIDGE DENTAL
Practice address
3311 Preston Rd Ste 10
Frisco, TX 75034-9027
Phone
(972) 668-7118
NPI assigned
Feb 9, 2012
Last updated
Feb 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Authorized official

Name
Cameron Brian HerringNPI 1962406579
Title
Dentist
Phone
(972) 668-7118

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 Dentistry 1223G0001X 22184 TX Primary

Addresses

Primary practice location

3311 Preston Rd Ste 10
Frisco, TX 75034-9027

Mailing address

3311 Preston Rd Ste 10
Frisco, TX 75034-9027

Other identifiers 1

IdentifierTypeStateIssuer
205070001MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1548533391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESTON RD STE 10",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESTON RD STE 10",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349027",
            "telephone_number": "972-668-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTON RIDGE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-668-7118"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205070001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.