Kharis Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

23246 Issued in TX

Legal business name

KHARIS DENTAL, PC

Practice address

5902 Corinth Chapel Rd
Parker, TX 75002-6445

Phone

(469) 231-4419

NPI assigned

Jun 22, 2016

Last updated

Jun 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Quincy Attipoe, DDS

Title

President

Phone

(469) 231-4419

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1902256837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 CORINTH CHAPEL RD",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750026445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 CORINTH CHAPEL RD",
            "city": "PARKER",
            "state": "TX",
            "postal_code": "750026445",
            "telephone_number": "469-231-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHARIS DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-22",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "ATTIPOE",
        "authorized_official_first_name": "QUINCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-231-4419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Parker, TX
• Providers in Parker, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.