Organization Active NPI

Tracey Dental

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1821572736
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRACEY DENTAL
Practice address
301 N Custer Rd Ste 110
McKinney, TX 75071-4828
Phone
(214) 250-3818
NPI assigned
Sep 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Authorized official

Name
Dr. Dorian R Long, DDSNPI 1760936181
Title
Owner
Phone
(214) 250-3818

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

301 N Custer Rd Ste 110
McKinney, TX 75071-4828

Mailing address

389 N Custer Rd
McKinney, TX 75071-4705

Other identifiers 1

IdentifierTypeStateIssuer
1760936181OtherTXTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

389 N Custer Rd
McKinney, TX 75071

301 N Custer Rd
Ste 110
McKinney, TX 75071
Phone (214) 250-3818

Practitioners & affiliated clinicians

Practitioners 1

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": "1537228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1821572736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 N CUSTER RD",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N CUSTER RD STE 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750714828",
            "telephone_number": "214-250-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-18",
        "last_updated": "2024-11-04",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "DORIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-250-3818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1760936181",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 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.