Organization Active NPI

PKSK Dental PLLC

  • General Practice Dentistry
  • Crossroads, TX
National Provider Identifier
1881168458
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PKSK DENTAL PLLC
Doing business as
Asana Dental
Brightway Dental
Prudent Family Dentistry1 more in Other names
Practice address
12000 US Highway 380 Ste 114
Crossroads, TX 76227-2340
Phone
(214) 414-1933
NPI assigned
Jan 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Sarabjit Khassa
Title
D.D.S.
Phone
(972) 679-3630

Specialties & licenses 1

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

Addresses

Primary practice location

12000 US Highway 380 Ste 114
Crossroads, TX 76227-2340

Mailing address

12000 US Highway 380 Ste 114
Crossroads, TX 76227-2340

Other practice location 1

6600 North Fwy Ste 109
Fort Worth, TX 76137-7556
Phone (817) 232-4600

Other practice location 2

3355 Trinity Mills Rd Ste 209
Dallas, TX 75287-6282
Phone (972) 306-3282

Other practice location 3

3501 Shepherd Ln
Balch Springs, TX 75180-2325
Phone (972) 286-5711

Other names 4

  • Asana Dental Doing business as
  • Brightway Dental Doing business as
  • Prudent Family Dentistry Doing business as
  • Pure Theory Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1881168458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 US HIGHWAY 380 STE 114",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 US HIGHWAY 380 STE 114",
            "city": "CROSSROADS",
            "state": "TX",
            "postal_code": "762272340",
            "telephone_number": "214-414-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6600 North Fwy Ste 109",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761377556",
            "country_code": "US",
            "telephone_number": "817-232-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3355 Trinity Mills Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752876282",
            "country_code": "US",
            "telephone_number": "972-306-3282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3501 Shepherd Ln",
            "address_purpose": "LOCATION",
            "city": "Balch Springs",
            "state": "TX",
            "postal_code": "751802325",
            "country_code": "US",
            "telephone_number": "972-286-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PKSK DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "KHASSA",
        "authorized_official_first_name": "SARABJIT",
        "authorized_official_title_or_position": "D.D.S.",
        "authorized_official_telephone_number": "972-679-3630"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Asana Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brightway Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prudent Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pure Theory Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossroads, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.