Organization Active NPI

Itooth Dentistry, PLLC

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1730441692
Registry record updated Jun 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25625 Issued in TX
Legal business name
ITOOTH DENTISTRY, PLLC
Practice address
905 N Jupiter Rd
Suite 180
Richardson, TX 75081-7712
Phone
(214) 924-3160
NPI assigned
Jun 15, 2012
Last updated
Jun 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2012

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

Authorized official

Name
Dr. Shawn Bui, D.D.SNPI 1831404417
Title
Part Owner
Phone
(214) 924-3160

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25625 TX Primary
General Practice Dentistry 1223G0001X 26251 TX

Addresses

Primary practice location

905 N Jupiter Rd
Suite 180
Richardson, TX 75081-7712

Mailing address

905 N Jupiter Rd
Suite 180
Richardson, TX 75081-7712
Phone (214) 924-3160

National Provider Directory

National Provider Directory

Locations

905 N Jupiter Rd
Ste 180
Richardson, TX 75081
Phone (214) 924-3160

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339718400000",
    "number": "1730441692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N JUPITER RD",
            "address_2": "SUITE 180",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817712",
            "telephone_number": "214-924-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N JUPITER RD",
            "address_2": "SUITE 180",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750817712",
            "telephone_number": "214-924-3160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ITOOTH DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2012-06-15",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "PART OWNER",
        "authorized_official_telephone_number": "214-924-3160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25625",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "26251",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Jun 15, 2012; 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.