Emmanuel Dental P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23752 Issued in TX

Legal business name

EMMANUEL DENTAL P.A.

Practice address

445 Walnut St
Suite 133
Richardson, TX 75081-5649

Phone

(972) 238-7233

Fax

(972) 238-8993

NPI assigned

Jan 5, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Pramod K Thomas, DDS

Title

President

Phone

(972) 238-7233

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Safe Dental Group Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1811227473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST",
            "address_2": "SUITE 133",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815649",
            "telephone_number": "972-238-7233",
            "fax_number": "972-238-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 WALNUT ST",
            "address_2": "SUITE 133",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815649",
            "telephone_number": "972-238-7233",
            "fax_number": "972-238-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMANUEL DENTAL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "PRAMOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-238-7233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER INDIVIDUAL NPI",
            "identifier": "1720259088",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Safe Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; 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.