Organization Active NPI

Plano Texas Dental

Doing business as Texas Dental

  • Dental Clinic/Center
  • Plano, TX
National Provider Identifier
1912545351
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PLANO TEXAS DENTAL
Doing business as
Texas Dental
Practice address
5132 Village Creek Dr
Plano, TX 75093-4497
Phone
(972) 381-1888
NPI assigned
Dec 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
William Robert Jennings, DDS
Title
Owner
Phone
(940) 206-8956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5132 Village Creek Dr
Plano, TX 75093-4497

Mailing address

2109 Commerce St
Dallas, TX 75201-4305
Phone (972) 248-1221

Other names 1

  • Texas Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2109 Commerce St
Dallas, TX 75201

Practitioners & affiliated clinicians

Practitioners 3

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": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1912545351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 COMMERCE ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014305",
            "telephone_number": "972-248-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5132 VILLAGE CREEK DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934497",
            "telephone_number": "972-381-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO TEXAS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-206-8956",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 17, 2019; 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.