Organization Active NPI

Parker Dental PA

  • Dentist
  • Plano, TX
National Provider Identifier
1861659328
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
20636 Issued in TX
Legal business name
PARKER DENTAL PA
Practice address
301 W Parker Rd Suite 210
Plano, TX 75023
Phone
(972) 516-9288
Fax
(972) 516-9206
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Mrs. Mai CHI Tran, DDSNPI 1891846010
Title
Vice President
Phone
(972) 516-9288

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 20636 TX Primary

Addresses

Primary practice location

301 W Parker Rd Suite 210
Plano, TX 75023

Mailing address

301 W Parker Rd Suite 210
Plano, TX 75023
Phone (972) 516-9288

Other identifiers 1

IdentifierTypeStateIssuer
165792601MedicaidTX

National Provider Directory

National Provider Directory

Locations

301 W Parker Rd
Ste 210
Plano, TX 75023
Phone (972) 516-9288

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1861659328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PARKER RD SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-516-9288",
            "fax_number": "972-516-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W PARKER RD SUITE 210",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75023",
            "telephone_number": "972-516-9288",
            "fax_number": "972-516-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "MAI",
        "authorized_official_middle_name": "CHI",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "972-516-9288",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "20636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165792601",
            "state": "TX"
        }
    ],
    "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 May 21, 2008; 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.