Organization Active NPI

Monica Jain DMD PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1689180309
Registry record updated Dec 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31494 Issued in TX
Legal business name
MONICA JAIN DMD PLLC
Practice address
1517 14TH St Ste a
Plano, TX 75074-6374
Phone
(617) 510-0507
NPI assigned
Dec 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2017

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

Authorized official

Name
Monica JainNPI 1578949632
Title
Manager
Phone
(617) 510-0507

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31494 TX Primary

Addresses

Primary practice location

1517 14TH St Ste a
Plano, TX 75074-6374

Mailing address

18201 Roehampton Dr Apt 613
Dallas, TX 75252-5166
Phone (617) 510-0507

National Provider Directory

National Provider Directory

Locations

1517 14th St
Ste A
Plano, TX 75074
Phone (617) 510-0507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513555200000",
    "number": "1689180309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18201 ROEHAMPTON DR APT 613",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752525166",
            "telephone_number": "617-510-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 14TH ST STE A",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746374",
            "telephone_number": "617-510-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONICA JAIN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2017-12-18",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "617-510-0507"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31494",
            "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 18, 2017; 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.