Organization Active NPI

Dental Depot of Highland Village

  • Dentist
  • Highland Village, TX
National Provider Identifier
1669927307
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DENTAL DEPOT OF HIGHLAND VILLAGE
Practice address
2460 FM 407
Highland Village, TX 75077-3091
Phone
(972) 966-1234
Fax
(972) 966-1233
NPI assigned
Aug 23, 2016
Last updated
Nov 25, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
DENTAL DEPOTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Authorized official

Name
Dr. Himesh I Kana, DDSNPI 1336233022
Title
Ceo
Phone
(972) 703-2525

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X TX Primary

Addresses

Primary practice location

2460 FM 407
Highland Village, TX 75077-3091

Mailing address

PO Box 561205
The Colony, TX 75056
Phone (972) 703-2525

Other names 1

  • Dental Depot Other name

National Provider Directory

National Provider Directory
Part of
Dental Depot of Highland Village

Locations

2460 Justin Rd
Highland Village, TX 75077
Phone (972) 966-1234

Practitioners & affiliated clinicians

Practitioners 2

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1669927307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561205",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "75056",
            "telephone_number": "972-703-2525",
            "fax_number": "972-332-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 FM 407",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773091",
            "telephone_number": "972-966-1234",
            "fax_number": "972-966-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL DEPOT OF HIGHLAND VILLAGE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL DEPOT",
        "enumeration_date": "2016-08-23",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "KANA",
        "authorized_official_first_name": "HIMESH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-703-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Depot",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dental Depot",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; 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.