Active NPI
Sydney Kidd
- Dentist
- Frisco, TX
National Provider Identifier
1619715554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40353
- Practice address
- 11720 Balch Springs CT
Frisco, TX 75035-8837 - Phone
- (214) 395-9617
- NPI assigned
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40353 | TX | Primary |
Addresses
Primary practice location
11720 Balch Springs CT
Frisco, TX 75035-8837
Mailing address
11720 Balch Springs CT
Frisco, TX 75035-8837
Phone (214) 395-9617
Other names 1
- Dr. Sydney Kidd
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40353 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1619715554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11720 BALCH SPRINGS CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "750358837",
"telephone_number": "214-395-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11720 BALCH SPRINGS CT",
"city": "FRISCO",
"state": "TX",
"postal_code": "750358837",
"telephone_number": "214-395-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIDD",
"first_name": "SYDNEY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-16",
"last_updated": "2024-07-16",
"certification_date": "2024-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "40353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SYDNEY",
"last_name": "KIDD",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.