Organization Active NPI

Mesquite Dental PLLC

  • Dentist
  • Mesquite, TX
National Provider Identifier
1992415566
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MESQUITE DENTAL PLLC
Practice address
3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051
Phone
(972) 698-6685
NPI assigned
Dec 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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

Authorized official

Name
Ihnbae Cho
Title
DDS
Phone
(520) 906-5765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051

Mailing address

3220 Gus Thomasson Rd Ste 347
Mesquite, TX 75150-4051

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675900800000",
    "number": "1992415566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 347",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 GUS THOMASSON RD STE 347",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751504051",
            "telephone_number": "972-698-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESQUITE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "IHNBAE",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "520-906-5765"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.