Individual provider Active NPI

Dorian Price, D.D.S.

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1689105892
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
33648 Issued in TX
Practice address
660 N Central Expy Ste 644
Plano, TX 75074-6780
Phone
(214) 733-2107
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 33648 TX Primary

Addresses

Primary practice location

660 N Central Expy Ste 644
Plano, TX 75074-6780

Mailing address

3728 Buchanan St
McKinney, TX 75071-2449
Phone (214) 733-2107

Other practice location 1

1650 W Northwest Hwy Unit 1
Grapevine, TX 76051-8109
Phone (214) 733-2107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710003143 AR Order and Referring Only - DentistPractitioner - Dentist 4183993934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33648TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Productive Impressions Dental,PLLC General Practice CurrentSince May 22, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1689105892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3728 BUCHANAN ST",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750712449",
            "telephone_number": "214-733-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CENTRAL EXPY STE 644",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746780",
            "telephone_number": "214-733-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 W Northwest Hwy Unit 1",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760518109",
            "country_code": "US",
            "telephone_number": "214-733-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRICE",
        "first_name": "DORIAN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "33648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.