NPIMap

Organization Active NPI

CDC Orthodontics Richardson PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richardson, TX
National Provider Identifier
1609320969
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
18843 Issued in TX
Legal business name
CDC ORTHODONTICS RICHARDSON PLLC
Practice address
4140 E Renner Rd
400
Richardson, TX 75082-2806
Phone
(972) 808-9600
Fax
(972) 808-9601
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dane L Hoang, DDS MS PA
Title
Sole MBR
Phone
(972) 808-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 18843 TX Primary

Addresses

Primary practice location

4140 E Renner Rd
400
Richardson, TX 75082-2806

Mailing address

4140 E Renner Rd
400
Richardson, TX 75082-2806
Phone (972) 808-9600

National Provider Directory

National Provider Directory

Locations

4140 E Renner Rd
Ste 400
Richardson, TX 75082
Phone (972) 808-9600

Practitioners & affiliated clinicians

Practitioners 3

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1609320969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 E RENNER RD",
            "address_2": "400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822806",
            "telephone_number": "972-808-9600",
            "fax_number": "972-808-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 E RENNER RD",
            "address_2": "400",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750822806",
            "telephone_number": "972-808-9600",
            "fax_number": "972-808-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDC ORTHODONTICS RICHARDSON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "DANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "972-808-9600",
        "authorized_official_credential": "DDS MS PA"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18843",
            "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 Aug 4, 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.