Active NPI
Deeann Migyanka Bennett, D.D.S.
- General Practice Dentistry
- Coppell, TX
National Provider Identifier
1740490994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19883
- Practice address
- 220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5038 - Phone
- (972) 462-9000
- Fax
- (972) 393-6876
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19883 | TX | Primary |
Addresses
Primary practice location
220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5038
Mailing address
220 S Denton Tap Rd
Suite 102
Coppell, TX 75019-5038
Phone (972) 462-9000
Other names 1
- Deeann Lee Migyanka
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19883 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deeann Bennett, D.D.S., P.a. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1740490994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S DENTON TAP RD",
"address_2": "SUITE 102",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195038",
"telephone_number": "972-462-9000",
"fax_number": "972-393-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S DENTON TAP RD",
"address_2": "SUITE 102",
"city": "COPPELL",
"state": "TX",
"postal_code": "750195038",
"telephone_number": "972-462-9000",
"fax_number": "972-393-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "DEEANN",
"middle_name": "MIGYANKA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEEANN",
"last_name": "MIGYANKA",
"middle_name": "LEE",
"credential": "D,D,S,",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.