Active NPI
Preston Ridge Dental
- General Practice Dentistry
- Frisco, TX
National Provider Identifier
1548533391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22184
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cameron Brian Herring
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205070001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Frisco, TX
- NPI 1962406579
-
- Dentist
- Frisco, TX
- NPI 1922213784
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
- Premise Health of Texas Medical PA (The Living Well Health and Wellness Center)
- Premise Health of Texas Medical PA (Frisco Employee Wellness Center)
- Preston Anesthesia Associates PLLC
- Preston Creek Healthcare LLC
- Preston Medical Associates PA
- Preston Surgery Center, LLC
- Preston Trail Transport
- Felicity Preston
- Prestonwood Imaging, LLC
- Brandon D. Price, D.M.D.
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.