Organization Active NPI

PHD Las Colinas, PLLC

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1568985299
Registry record updated Jul 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PHD LAS COLINAS, PLLC
Practice address
580 Decker Dr Ste 275
Irving, TX 75062-2377
Phone
(972) 579-1046
NPI assigned
Jul 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2017

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

Authorized official

Name
Michael Pincus, DDS
Title
Owner
Phone
(972) 416-2330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X TX Primary

Addresses

Primary practice location

580 Decker Dr Ste 275
Irving, TX 75062-2377

Mailing address

5961 Dallas Pkwy Ste 600
Plano, TX 75093-8519
Phone (972) 416-2330

Other practice location 1

580 Decker Dr Ste 275
Irving, TX 75062-2377
Phone (972) 579-1046

National Provider Directory

National Provider Directory

Locations

580 Decker Dr
Ste 275
Irving, TX 75062
Phone (972) 579-1046

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500940800000",
    "number": "1568985299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 DALLAS PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938519",
            "telephone_number": "972-416-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DECKER DR STE 275",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622377",
            "telephone_number": "972-579-1046"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "580 Decker Dr Ste 275",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750622377",
            "country_code": "US",
            "telephone_number": "972-579-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHD LAS COLINAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A",
        "authorized_official_last_name": "PINCUS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-416-2330",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.