Organization Active NPI

Summit Point Dental & Implant Center

  • Dentist
  • McKinney, TX
National Provider Identifier
1770182701
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
SUMMIT POINT DENTAL & IMPLANT CENTER
Practice address
3124 West University Drive
McKinney, TX 75071-7507
Phone
(972) 975-2752
NPI assigned
Oct 21, 2020
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Dr. Sasan Khodabakhsh, DDSNPI 1053428755
Title
Dentist / Owner
Phone
(972) 975-2752

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

3124 West University Drive
McKinney, TX 75071-7507

Mailing address

3124 W University Dr
McKinney, TX 75071-3018
Phone (469) 625-0005

Other names 1

  • Summit Point Dental and Implant Center, PLLC Former legal business name

National Provider Directory

National Provider Directory

Locations

3124 W University Dr
McKinney, TX 75071
Phone (694) 625-0005

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": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1770182701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3124 W UNIVERSITY DR",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750713018",
            "telephone_number": "469-625-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 WEST UNIVERSITY DRIVE",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717507",
            "telephone_number": "972-975-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT POINT DENTAL & IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "KHODABAKHSH",
        "authorized_official_first_name": "SASAN",
        "authorized_official_title_or_position": "DENTIST / OWNER",
        "authorized_official_telephone_number": "972-975-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Point Dental and Implant Center, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.