Individual provider Active NPI

Dennis Nguyen Dinh, DMD

  • General Practice Dentistry
  • Burleson, TX
National Provider Identifier
1023305422
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27141 Issued in TX
Practice address
811 NE Alsbury Blvd
Suite 600
Burleson, TX 76028-2668
Phone
(817) 500-9135
NPI assigned
Jul 6, 2011
Last updated
Jul 2, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27141 TX Primary

Addresses

Primary practice location

811 NE Alsbury Blvd
Suite 600
Burleson, TX 76028-2668

Mailing address

2429 Limestone Dr
Arlington, TX 76014-1813
Phone (817) 919-0791

Other identifiers 1

IdentifierTypeStateIssuer
27141OtherTXSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
27141TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shine Bright Dentistry CurrentSince Jul 24, 2022 Accepting new patients

Locations

3212 Harwood Rd
Bedford, TX 76021
Phone (817) 778-8822

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1023305422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 LIMESTONE DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760141813",
            "telephone_number": "817-919-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NE ALSBURY BLVD",
            "address_2": "SUITE 600",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760282668",
            "telephone_number": "817-500-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINH",
        "first_name": "DENNIS",
        "middle_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "27141",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.