My Dentist PLLC Dba Spring Creek Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21144 Issued in TX

Legal business name

MY DENTIST PLLC DBA SPRING CREEK DENTAL

Practice address

6205 Coit Rd Ste 130
Plano, TX 75024-5473

Phone

(972) 964-1122

Fax

(972) 964-9595

NPI assigned

May 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shalaka Abhijit Nesarikar, D.D.S.NPI 1851520779

Title

Member Manager

Phone

(972) 964-1122

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shalaka Abhijit Nesarikar, D.D.S.

  • General Practice Dentistry
  • Farmers Branch, TX
  • NPI 1851520779
  NPD (past) Authorized official

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700091667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245473",
            "telephone_number": "972-964-1122",
            "fax_number": "972-964-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6205 COIT RD STE 130",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245473",
            "telephone_number": "972-964-1122",
            "fax_number": "972-964-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DENTIST PLLC DBA SPRING CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESARIKAR",
        "authorized_official_first_name": "SHALAKA",
        "authorized_official_middle_name": "ABHIJIT",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "972-964-1122",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Plano, TX
• Providers in Plano, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.