PB Dental

Primary specialty

DentistTaxonomy code 122300000X

License

22371 Issued in TX

Legal business name

PB DENTAL

Practice address

272 S Collins Rd
Suite 100
Sunnyvale, TX 75182-4625

Phone

(972) 289-1871

Fax

(972) 329-2530

NPI assigned

Jul 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Luis E Sanchez, DMD

Title

Owner

Phone

(972) 289-1871

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265760000000",
    "number": "1982869129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 S COLLINS RD",
            "address_2": "SUITE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824625",
            "telephone_number": "972-289-1871",
            "fax_number": "972-329-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 S COLLINS RD",
            "address_2": "SUITE 100",
            "city": "SUNNYVALE",
            "state": "TX",
            "postal_code": "751824625",
            "telephone_number": "972-289-1871",
            "fax_number": "972-329-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2010-02-10",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-289-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; 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.