NPIMap

Organization Active NPI

14TH Street Dental

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1588051395
Registry record updated Apr 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25735 Issued in TX
Legal business name
14TH STREET DENTAL
Practice address
1900 14TH St
Suite C
Plano, TX 75074-6426
Phone
(940) 808-1970
Fax
(855) 731-5147
NPI assigned
Apr 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2015

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

Authorized official

Name
Dr. Craig F Copeland, DMD
Title
Owner
Phone
(940) 808-1970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25735 TX Primary

Addresses

Primary practice location

1900 14TH St
Suite C
Plano, TX 75074-6426

Mailing address

PO Box 674330
Dallas, TX 75267-4330
Phone (940) 808-1970

Other names 1

  • Sol River Other name

National Provider Directory

National Provider Directory

Locations

1900 14th St
Ste C
Plano, TX 75074
Phone (468) 360-9965

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429488000000",
    "number": "1588051395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674330",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674330",
            "telephone_number": "940-808-1970",
            "fax_number": "855-731-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 14TH ST",
            "address_2": "SUITE C",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746426",
            "telephone_number": "940-808-1970",
            "fax_number": "855-731-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "14TH STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-04-20",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-808-1970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sol River",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; 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.