Extraction King PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

EXTRACTION KING PLLC

Doing business as

Sooth Dental

Practice address

4501 W Expressway 83 # 10
McAllen, TX 78503-0029

Phone

(956) 627-0525

Fax

(956) 322-8982

NPI assigned

Aug 29, 2023

Organization subpart

No

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

Authorized official

Name

Eberechukwu IheanachoNPI 1710429139

Title

Owner

Phone

(956) 627-0525

Specialties & licenses 1

Addresses

Other names 1

• Sooth Dental Doing business as

Locations

Practitioners 2

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

• Eberechukwu Iheanacho, DDS

  • General Practice Dentistry
  • Edinburg, TX
  • NPI 1710429139
  NPD Authorized official
• Roxana Lopez, D.D.S.

  • General Practice Dentistry
  • McAllen, TX
  • NPI 1649315672
  NPD (past)

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693440000000",
    "number": "1699550483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 W EXPRESSWAY 83 # 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785030029",
            "telephone_number": "956-627-0525",
            "fax_number": "956-322-8982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 W EXPRESSWAY 83 # 10",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785030029",
            "telephone_number": "956-627-0525",
            "fax_number": "956-322-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTRACTION KING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A",
        "authorized_official_last_name": "IHEANACHO",
        "authorized_official_first_name": "EBERECHUKWU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-627-0525"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sooth Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas LTD
• Eyemasters of Texas LTD
• F M Borland MD PA

• Dental Clinic/Center in McAllen, TX
• Providers in McAllen, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.