Organization Active NPI

Dreamworks Dental of Prosper PLLC

  • General Practice Dentistry
  • Prosper, TX
National Provider Identifier
1760958854
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DREAMWORKS DENTAL OF PROSPER PLLC
Practice address
4740 W University Dr Ste 180
Prosper, TX 75078-2029
Phone
(682) 593-7800
NPI assigned
Oct 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Dr. Maria Nguyen, DMDNPI 1538365630
Title
Owner
Phone
(954) 608-9984

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4740 W University Dr Ste 180
Prosper, TX 75078-2029

Mailing address

4420 N Tarrant Pkwy # 146
Fort Worth, TX 76244-4922
Phone (682) 593-7800

National Provider Directory

National Provider Directory

Locations

4420 North Tarrant Pkwy
#146
Fort Worth, TX 76244

Practitioners & affiliated clinicians

Practitioners 1

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": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1760958854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 N TARRANT PKWY # 146",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444922",
            "telephone_number": "682-593-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 W UNIVERSITY DR STE 180",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750782029",
            "telephone_number": "682-593-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMWORKS DENTAL OF PROSPER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-608-9984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.