Active NPI
Canyon Creek Family Dentistry Plano, PLLC
- General Practice Dentistry
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- CANYON CREEK FAMILY DENTISTRY PLANO, PLLC
- Practice address
- 7224 Independence Pkwy
Suite # 312
Plano, TX 75025-5759 - Phone
- (972) 312-1718
- NPI assigned
- Feb 16, 2016
- Last updated
- Feb 16, 2016
- Organization subpart
- Yes
- Parent organization
- CANYON CREEK FAMILY DENTISTRY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Afshin Azmoodeh, D.D.S.
- Title
- President
- Phone
- (972) 644-3800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
7224 Independence Pkwy
Suite # 312
Plano, TX 75025-5759
Mailing address
7224 Independence Pkwy
Suite # 312
Plano, TX 75025-5759
Phone (972) 312-1718
National Provider Directory
National Provider Directory- Tax ID family
- Canyon Creek Family Dentistry Plano PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- General Practice Dentistry
- Richardson, TX
- NPI 1871699488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1790144996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7224 INDEPENDENCE PKWY",
"address_2": "SUITE # 312",
"city": "PLANO",
"state": "TX",
"postal_code": "750255759",
"telephone_number": "972-312-1718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7224 INDEPENDENCE PKWY",
"address_2": "SUITE # 312",
"city": "PLANO",
"state": "TX",
"postal_code": "750255759",
"telephone_number": "972-312-1718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CANYON CREEK FAMILY DENTISTRY PLANO, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CANYON CREEK FAMILY DENTISTRY",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "AZMOODEH",
"authorized_official_first_name": "AFSHIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-644-3800",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.