Active NPI
Traci Jill Wade, D.D.S.
- General Practice Dentistry
- Frisco, TX
National Provider Identifier
1770707960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18311
- Practice address
- 3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1929 - Phone
- (972) 377-7800
- Fax
- (972) 767-5006
- NPI assigned
- Apr 12, 2007
- Last updated
- Sep 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 | 18311 | TX | Primary |
Addresses
Primary practice location
3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1929
Mailing address
3880 Parkwood Blvd
Suite 103
Frisco, TX 75034-1929
Phone (972) 377-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18311 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790726400000",
"number": "1770707960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3880 PARKWOOD BLVD",
"address_2": "SUITE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341929",
"telephone_number": "972-377-7800",
"fax_number": "972-767-5006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3880 PARKWOOD BLVD",
"address_2": "SUITE 103",
"city": "FRISCO",
"state": "TX",
"postal_code": "750341929",
"telephone_number": "972-377-7800",
"fax_number": "972-767-5006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "TRACI",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-12",
"last_updated": "2026-09-30",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.