Organization Active NPI

Dentium Pediatric Dental P.C.

  • Pediatric Dentistry
  • Frisco, TX
National Provider Identifier
1922529874
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
28104 Issued in TX
Legal business name
DENTIUM PEDIATRIC DENTAL P.C.
Practice address
2626 Stonebrook Pkwy Ste 200
Frisco, TX 75034-1393
Phone
(972) 987-0787
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Solmaz Shir, DDS
Title
Owner
Phone
(972) 987-0787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 28104 TX Primary

Addresses

Primary practice location

2626 Stonebrook Pkwy Ste 200
Frisco, TX 75034-1393

Mailing address

2626 Stonebrook Pkwy Ste 200
Frisco, TX 75034-1393
Phone (972) 987-0787

Other identifiers 1

IdentifierTypeStateIssuer
1255696142OtherTXNPI TYPE 1

Other names 1

  • Sheer Smiles Pediatric Dentistry 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": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922529874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 STONEBROOK PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341393",
            "telephone_number": "972-987-0787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 STONEBROOK PKWY STE 200",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750341393",
            "telephone_number": "972-987-0787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTIUM PEDIATRIC DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIR",
        "authorized_official_first_name": "SOLMAZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-987-0787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "28104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1255696142",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheer Smiles Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.