NPIMap

Organization Active NPI

Prudent Family Dentistry of Carrollton PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1871833574
Registry record updated Feb 18, 2013
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24848 Issued in TX
Legal business name
PRUDENT FAMILY DENTISTRY OF CARROLLTON PLLC
Practice address
15110 Dallas Pkwy
Suite 470
Dallas, TX 75248-4635
Phone
(972) 512-0285
Fax
(972) 239-0755
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Sarabjit Kaur Khassa, D.D.S.
Title
Dentist
Phone
(269) 873-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24848 TX Primary

Addresses

Primary practice location

15110 Dallas Pkwy
Suite 470
Dallas, TX 75248-4635

Mailing address

3355 Trinity Mills Rd
Suite 209
Dallas, TX 75287-6275
Phone (972) 306-3282

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1871833574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 TRINITY MILLS RD",
            "address_2": "SUITE 209",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752876275",
            "telephone_number": "972-306-3282",
            "fax_number": "972-862-6792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15110 DALLAS PKWY",
            "address_2": "SUITE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484635",
            "telephone_number": "972-512-0285",
            "fax_number": "972-239-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT FAMILY DENTISTRY OF CARROLLTON PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "269-873-0844",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.