Organization Active NPI

Prudent Family Dentistry of Plano PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1649511155
Registry record updated Dec 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24848 Issued in TX
Legal business name
PRUDENT FAMILY DENTISTRY OF PLANO PLLC
Practice address
2220 Coit Rd
Ste. 570
Plano, TX 75075-3797
Phone
(972) 964-6500
NPI assigned
Mar 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2014

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

Authorized official

Name
Dr. Sarabjit Kaur Khassa, D.D.S
Title
Dentist
Phone
(972) 512-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24848 TX Primary

Addresses

Primary practice location

2220 Coit Rd
Ste. 570
Plano, TX 75075-3797

Mailing address

15110 Dallas Pkwy Ste 470
Dallas, TX 75248-4635

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419552000000",
    "number": "1649511155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 COIT RD",
            "address_2": "STE. 570",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750753797",
            "telephone_number": "972-964-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT FAMILY DENTISTRY OF PLANO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2014-12-26",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-512-0285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24848",
            "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 Dec 26, 2014; 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.