Organization Active NPI

Donald V. Nix D.D.S., P.a.

  • Oral and Maxillofacial Pathology Dentistry
  • Plano, TX
National Provider Identifier
1710905641
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
12607 Issued in TX
Legal business name
DONALD V. NIX D.D.S., P.A.
Practice address
5501 Independence Pkwy Ste 104
Plano, TX 75023-5469
Phone
(972) 985-7555
Fax
(972) 964-5193
NPI assigned
Jul 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Anette Roberts
Title
Office Manager
Phone
(972) 985-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0106X 12607 TX Primary

Addresses

Primary practice location

5501 Independence Pkwy Ste 104
Plano, TX 75023-5469

Mailing address

2 Wimbledon CT
Frisco, TX 75034-5939
Phone (972) 985-7555

Other identifiers 1

IdentifierTypeStateIssuer
113900OtherTXCIGNA DMO

National Provider Directory

National Provider Directory

Locations

5501 Independence Pkwy
Ste 104
Plano, TX 75023
Phone (972) 985-7555

Practitioners & affiliated clinicians

Practitioners 2

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710905641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WIMBLEDON CT",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750345939",
            "telephone_number": "972-985-7555",
            "fax_number": "972-964-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 INDEPENDENCE PKWY STE 104",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750235469",
            "telephone_number": "972-985-7555",
            "fax_number": "972-964-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD V. NIX D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ANETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "972-985-7555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "12607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA DMO",
            "identifier": "113900",
            "state": "TX"
        }
    ],
    "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 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.