Organization Active NPI

Irving - Dr Limited Liability Company

Doing business as Dental Republic

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1033436811
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IRVING - DR LIMITED LIABILITY COMPANY
Doing business as
Dental Republic
Practice address
1015 E Irving Blvd
Irving, TX 75060-4350
Phone
(972) 747-1400
NPI assigned
May 3, 2010
Last updated
Apr 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Dr. Son Tran, DDSNPI 1316163546
Title
President/Dentist
Phone
(972) 747-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1015 E Irving Blvd
Irving, TX 75060-4350

Mailing address

2476 Worthington St
Dallas, TX 75204-2503
Phone (972) 747-1400

Other names 1

  • Dental Republic Doing business as

National Provider Directory

National Provider Directory

Locations

1015 E Irving Blvd
Irving, TX 75060
Phone (512) 994-5108

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": "1272844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1033436811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2476 WORTHINGTON ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752042503",
            "telephone_number": "972-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E IRVING BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750604350",
            "telephone_number": "972-747-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING - DR LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-03",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "972-747-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Republic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.