Active NPI
South Plano Family Dentistry, PLLC
- General Practice Dentistry
- Richardson, TX
National Provider Identifier
1720746647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- SOUTH PLANO FAMILY DENTISTRY, PLLC
- Practice address
- 1332 S Plano Rd Ste 530
Richardson, TX 75081-5954 - Phone
- (940) 220-7833
- NPI assigned
- Dec 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Everett Chad Evans, DDS
- Title
- Owner/Dentist
- Phone
- (940) 220-7833
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
1332 S Plano Rd Ste 530
Richardson, TX 75081-5954
Mailing address
1332 S Plano Rd Ste 534
Richardson, TX 75081-5956
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432464201 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
1332 S Plano Rd
Ste 534
Richardson, TX 75081
1332 S Plano Rd
Ste 530
Richardson, TX 75081
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Denton, TX
- NPI 1407930050
-
- Dentist
- Arlington, TX
- NPI 1184936726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738627200000",
"number": "1720746647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 S PLANO RD STE 534",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1332 S PLANO RD STE 530",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815954",
"telephone_number": "940-220-7833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH PLANO FAMILY DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "EVERETT",
"authorized_official_middle_name": "CHAD",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "940-220-7833",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432464201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.