Innate Dental PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

INNATE DENTAL PLLC

Practice address

4708 W Plano Pkwy Ste 200
Plano, TX 75093-5335

Phone

(972) 519-0990

Fax

(469) 613-0862

NPI assigned

May 29, 2020

Last updated

May 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crystal Henderson

Title

Director

Phone

(469) 842-2012

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1558985184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935335",
            "telephone_number": "972-519-0990",
            "fax_number": "469-613-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 W PLANO PKWY STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935335",
            "telephone_number": "972-519-0990",
            "fax_number": "469-613-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNATE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "469-842-2012"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelled@innatemedicalsolutions.com",
            "affiliation": "N",
            "endpointDescription": "Secure business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7504 San Jacinto Pl",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750243233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mara Paige Ingersoll, MS, RD, LD
• Annabelle Ingram, RBT
• Inhome Connect of Fort Worth
• Inhome Wholisticare and Wellness - South
• Inhome Wholisticare and Wellness North LLC
• Innate Healthcare, PLLC (Sports & Spine Chiropractic)
• Innate Imaging LLC
• Innate Medical Solutions PLLC
• Innate Neuromonitoring PLLC
• Innate Spine & Orthopedics PLLC

• Dentist in Plano, TX
• Providers in Plano, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.