NPIMap

Organization Active NPI

Richardson Dentistry, PLLC

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1609145044
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25656 Issued in TX
Legal business name
RICHARDSON DENTISTRY, PLLC
Practice address
1231 E Belt Line Rd
Suite103
Richardson, TX 75081-3748
Phone
(972) 690-8617
Fax
(972) 690-6423
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Brent Fleming, DDSNPI 1447547237
Title
Registered Agent
Phone
(972) 690-8617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 25656 TX Primary

Addresses

Primary practice location

1231 E Belt Line Rd
Suite103
Richardson, TX 75081-3748

Mailing address

1231 E Belt Line Rd
Suite103
Richardson, TX 75081-3748
Phone (972) 690-8617

National Provider Directory

National Provider Directory

Locations

1231 E Belt Line Rd
Ste 103
Richardson, TX 75081
Phone (972) 690-8617

Practitioners & affiliated clinicians

Practitioners 4

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": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1609145044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E BELT LINE RD",
            "address_2": "SUITE103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813748",
            "telephone_number": "972-690-8617",
            "fax_number": "972-690-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E BELT LINE RD",
            "address_2": "SUITE103",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813748",
            "telephone_number": "972-690-8617",
            "fax_number": "972-690-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "972-690-8617",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 14, 2011; 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.