Organization Active NPI

Regan Prewitt DDS PLLC

  • Dentist
  • Richardson, TX
National Provider Identifier
1992062244
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23883 Issued in TX
Legal business name
REGAN PREWITT DDS PLLC
Practice address
1112 N Floyd Rd Ste 6B
Richardson, TX 75080-4243
Phone
(972) 907-8157
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Regan Prewitt
Title
Dentist
Phone
(972) 907-8157

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23883 TX Primary

Addresses

Primary practice location

1112 N Floyd Rd Ste 6B
Richardson, TX 75080-4243

Mailing address

1112 N Floyd Rd Ste 6B
Richardson, TX 75080-4243

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1992062244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 N FLOYD RD STE 6B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 N FLOYD RD STE 6B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804243",
            "telephone_number": "972-907-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGAN PREWITT DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "PREWITT",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "972-907-8157",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.