NPIMap

Organization Active NPI

Prudent Family Dentistry of North Dallas PLLC

  • Dentist
  • Dallas, TX
National Provider Identifier
1689014102
Registry record updated Aug 28, 2013
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Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24848 Issued in TX
Legal business name
PRUDENT FAMILY DENTISTRY OF NORTH DALLAS PLLC
Practice address
17194 Preston Rd
Suite 224
Dallas, TX 75248-1221
Phone
(972) 512-0285
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Sarabjit Khassa, D.D.S.
Title
Owner
Phone
(972) 512-0285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 24848 TX Primary

Addresses

Primary practice location

17194 Preston Rd
Suite 224
Dallas, TX 75248-1221

Mailing address

15110 Dallas Pkwy
Suite 470
Dallas, TX 75248-4635

National Provider Directory

National Provider Directory

Locations

15110 Dallas Pkwy
Ste 470
Dallas, TX 75248
Phone (972) 512-0285

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1689014102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17194 PRESTON RD",
            "address_2": "SUITE 224",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481221",
            "telephone_number": "972-512-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT FAMILY DENTISTRY OF NORTH DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-512-0285",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "24848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.