Dental Health Associates of Texas, PC

Key facts

NPI: 1609089937
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Dentistry 1223G0001X
License: 15772 (TX)
Legal business name: DENTAL HEALTH ASSOCIATES OF TEXAS, PC
Practice address: 1760 W Virginia St
Ste 100
McKinney, TX 75069-7864
Phone: (972) 547-6453
Fax: (972) 542-0121
NPI assigned: May 7, 2007
Organization subpart: No

Authorized official

Name: Hannah Fish
Title: Credentialing Manager
Phone: (217) 540-5699

Practitioners 1

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

Jeff Lynch Dentist · McKinney, TX · NPI 1427272186

Medicare reassignment TX

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260519002468	TX	Part B Supplier - Clinic/Group Practice	8820455009	Receives reassigned benefits from 1 practitioner Practice locations: McKinney, TX

National Provider Directory

Locations

1716 W Virginia St
McKinney, TX 75069
Phone (972) 542-0146

1760 W Virginia St
Ste 100
McKinney, TX 75069
Phone (972) 547-6453

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X	20135	TX
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X	20748	TX
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X	16034	TX
General Practice Dentistry Group: 193200000X MULTI-SPECIALTY GROUP	1223G0001X	15772	TX	Yes

Addresses

Primary practice location

1760 W Virginia St
Ste 100
McKinney, TX 75069-7864

Mailing address

1760 W Virginia St
Ste 100
McKinney, TX 75069-7864
Phone (972) 547-6453

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 9, 2024.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1609089937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 W VIRGINIA ST",
            "address_2": "STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697864",
            "telephone_number": "972-547-6453",
            "fax_number": "972-542-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 W VIRGINIA ST",
            "address_2": "STE 100",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750697864",
            "telephone_number": "972-547-6453",
            "fax_number": "972-542-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL HEALTH ASSOCIATES OF TEXAS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "217-540-5699"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20135",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20748",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

All providers in McKinney, TX · General Practice Dentistry in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.