Tcid PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TCID PLLC

Doing business as

Carrollton Dentistry

Practice address

1628 W Hebron Pkwy Ste 108
Carrollton, TX 75010-6311

Phone

(972) 492-0002

NPI assigned

Feb 5, 2020

Last updated

Feb 5, 2020By 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. Insoo SongNPI 1821583113

Title

Dentist

Phone

(972) 492-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carrollton Dentistry Doing business as

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.

• Insoo Song, DDS

  • Dentist
  • Carrollton, TX
  • NPI 1821583113

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1649802984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106311",
            "telephone_number": "972-492-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 W HEBRON PKWY STE 108",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106311",
            "telephone_number": "972-492-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TCID PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "INSOO",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-492-0002",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "35046",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollton Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keidra Nicole Taylor
• Martha Jo Taylor, LPC & LMFT
• Martha Lynn Taylor, CCC-SLP
• Mitchell Taylor, LPC-A
• Moirae Michelle Taylor, MD
• Teach Me LLC (Therapy & Beyond)
• Tech Source Ventures LLC
• Tech Source Ventures LLC
• Techno Labs Services LLC
• David Teed, O.D.

• General Practice Dentistry in Carrollton, TX
• Providers in Carrollton, 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 Feb 5, 2020; 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.