PHD Sunnyvale, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

PHD SUNNYVALE, PLLC

Practice address

270 S Collins Rd
Sunnyvale, TX 75182-4641

Phone

(972) 416-2330

NPI assigned

Jun 21, 2018

Last updated

Jun 21, 2018By 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

Lisa Marie Govinchuck

Title

Business Manager

Phone

(972) 416-2330

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1952895070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 DALLAS PKWY STE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938519",
            "telephone_number": "972-416-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S COLLINS RD",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824641",
            "telephone_number": "972-416-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHD SUNNYVALE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GOVINCHUCK",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "972-416-2330"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Sunnyvale, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.