Organization Active NPI

Plaza Dental Center PA

  • Exclusive Provider Organization
  • Plano, TX
National Provider Identifier
1619334463
Registry record updated Jan 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
18039 Issued in TX
Legal business name
PLAZA DENTAL CENTER PA
Practice address
4140 Legacy Dr
Suite 302
Plano, TX 75024-3495
Phone
(972) 208-9998
Fax
(972) 208-9995
NPI assigned
Jan 25, 2016
Last updated
Jan 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2016

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

Authorized official

Name
Dr. Bin X Weng, DDSNPI 1033112750
Title
Owner
Phone
(972) 208-9998

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
Exclusive Provider Organization 302F00000X 18039 TX Primary

Addresses

Primary practice location

4140 Legacy Dr
Suite 302
Plano, TX 75024-3495

Mailing address

4140 Legacy Dr
Suite 302
Plano, TX 75024-3495
Phone (972) 208-9998

National Provider Directory

National Provider Directory

Locations

4140 Legacy Dr
Ste 302
Plano, TX 75024
Phone (972) 208-9998

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453680000000",
    "number": "1619334463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 LEGACY DR",
            "address_2": "SUITE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243495",
            "telephone_number": "972-208-9998",
            "fax_number": "972-208-9995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 LEGACY DR",
            "address_2": "SUITE 302",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243495",
            "telephone_number": "972-208-9998",
            "fax_number": "972-208-9995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA DENTAL CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2016-01-25",
        "status": "A",
        "authorized_official_last_name": "WENG",
        "authorized_official_first_name": "BIN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-208-9998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "TX",
            "license": "18039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 25, 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.