Organization Active NPI

Smile Magicdental PA

  • Preferred Provider Organization
  • McKinney, TX
National Provider Identifier
1891942231
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
20676 Issued in TX
Legal business name
SMILE MAGICDENTAL PA
Doing business as
Smile Magic Dental
Practice address
5261 McKinney Ranch Pkwy
Ste # 400
McKinney, TX 75070-6831
Phone
(214) 544-7645
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Poonam Gokhale, DMDNPI 1487816252
Title
Dentist
Phone
(214) 544-7645

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
Preferred Provider Organization 305R00000X 20676 TX Primary

Addresses

Primary practice location

5261 McKinney Ranch Pkwy
Ste # 400
McKinney, TX 75070-6831

Mailing address

5261 McKinney Ranch Pkwy
Ste # 400
McKinney, TX 75070-6831
Phone (214) 544-7645

Other identifiers 1

IdentifierTypeStateIssuer
1487816252OtherTXNPI TYPE 1

Other names 1

  • Smile Magic Dental Doing business as

National Provider Directory

National Provider Directory

Locations

5261 McKinney Ranch Pkwy
Ste 400
McKinney, TX 75070
Phone (214) 544-7645

Practitioners & affiliated clinicians

Practitioners 2

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1891942231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 MCKINNEY RANCH PKWY",
            "address_2": "STE # 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706831",
            "telephone_number": "214-544-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 MCKINNEY RANCH PKWY",
            "address_2": "STE # 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706831",
            "telephone_number": "214-544-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE MAGICDENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "GOKHALE",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "214-544-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "20676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1487816252",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Magic Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 27, 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.