Organization Active NPI

Venturi Holdings, PLLC

Doing business as Boost Dental

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1558939579
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VENTURI HOLDINGS, PLLC
Doing business as
Boost Dental
Practice address
3017 E Renner Rd Ste 120
Richardson, TX 75082-3575
Phone
(972) 644-9595
NPI assigned
Jun 15, 2021
Last updated
Jun 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Kenny Thaher, DMD
Title
Owner/DMD
Phone
(732) 666-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3017 E Renner Rd Ste 120
Richardson, TX 75082-3575

Mailing address

3017 E Renner Rd Ste 120
Richardson, TX 75082-3575
Phone (972) 644-9595

Other names 1

  • Boost Dental Doing business as

National Provider Directory

National Provider Directory

Locations

3017 E Renner Rd
Ste 120
Richardson, TX 75082
Phone (972) 644-9595

Practitioners & affiliated clinicians

Practitioners 1

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": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1558939579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3017 E RENNER RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823575",
            "telephone_number": "972-644-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3017 E RENNER RD STE 120",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750823575",
            "telephone_number": "972-644-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTURI HOLDINGS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "THAHER",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "OWNER/DMD",
        "authorized_official_telephone_number": "732-666-1775",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boost Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.