The Main Street Dental Depot, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22129 Issued in TX

Legal business name

THE MAIN STREET DENTAL DEPOT, PLLC

Practice address

5014 Main St
The Colony, TX 75056-2250

Phone

(469) 425-9988

NPI assigned

Mar 22, 2016

Last updated

Mar 22, 2016By 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

Dr. Himesh I Kana, D.D.S.

Title

Managing Member

Phone

(972) 795-9205

Specialties & licenses 1

Addresses

Other names 1

• Dental Depot Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph J Chen, DDS

  • General Practice Dentistry
  • Long Beach, CA
  • NPI 1962823286
  NPD (past)

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1609238393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5014 MAIN ST",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562250",
            "telephone_number": "469-425-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5014 MAIN ST",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750562250",
            "telephone_number": "469-425-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAIN STREET DENTAL DEPOT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "KANA",
        "authorized_official_first_name": "HIMESH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "972-795-9205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Depot",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Texas Dental Anesthesia
• The Colony Dentist
• The Colony Inn LLC
• The Colony Pharmacy LLC (TheColonyRX Pharmacy)
• The Colony Total Wellness Clinic, PLLC
• The Regenerative Institute of Texas
• Jo Ann Thiel, D.D.S., P.A
• Binu Thomas, DPT
• Jaziyia Thomas
• Whitford Thomas, PT

• General Practice Dentistry in The Colony, TX
• Providers in The Colony, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; 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.