NPIMap

Organization Active NPI

Hickory Creek Dental Group and Orthodontics, PC

  • General Practice Dentistry
  • Denton, TX
National Provider Identifier
1770714800
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HICKORY CREEK DENTAL GROUP AND ORTHODONTICS, PC
Doing business as
Hickory Creek Dental Group and Orthodontics
Practice address
5017 Teasley LN
Suite 165
Denton, TX 76210-3839
Phone
(940) 387-4597
Fax
(940) 898-1870
NPI assigned
Aug 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Authorized official

Name
Dr. Joan Thanh To, DDS
Title
Owner Doctor
Phone
(940) 387-4597

Specialties & licenses 1

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

Addresses

Primary practice location

5017 Teasley LN
Suite 165
Denton, TX 76210-3839

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8890

Other names 1

  • Hickory Creek Dental Group and Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

5017 Teasley Ln
Ste 165
Denton, TX 76210
Phone (214) 218-5543

Practitioners & affiliated clinicians

Practitioners 6

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": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1770714800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8890",
            "fax_number": "949-474-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 TEASLEY LN",
            "address_2": "SUITE 165",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762103839",
            "telephone_number": "940-387-4597",
            "fax_number": "940-898-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY CREEK DENTAL GROUP AND ORTHODONTICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "TO",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "940-387-4597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hickory Creek Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hickory Creek Dental Group and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.