NPIMap

Organization Active NPI

Dentspan PLLC

  • General Practice Dentistry
  • Plano, TX
National Provider Identifier
1982147708
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31671 Issued in TX
Legal business name
DENTSPAN PLLC
Practice address
3680 SH 121
100
Plano, TX 75025
Phone
(617) 794-5879
NPI assigned
Nov 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Authorized official

Name
Rishi Bafna, DMDNPI 1790071769
Title
Owner
Phone
(617) 794-5879

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 31671 TX Primary

Addresses

Primary practice location

3680 SH 121
100
Plano, TX 75025

Mailing address

3680 SH 121
100
Plano, TX 75025

National Provider Directory

National Provider Directory

Locations

3680 State Highway 121
Ste 100
Plano, TX 75025
Phone (469) 333-3300

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": "1480291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1982147708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 SH 121",
            "address_2": "100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 SH 121",
            "address_2": "100",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75025",
            "telephone_number": "617-794-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTSPAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "BAFNA",
        "authorized_official_first_name": "RISHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-794-5879",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "31671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 28, 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.