NPIMap

Organization Active NPI

Hieu T Phan PC

Doing business as pioneer dental

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1043540305
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23356 Issued in TX
Legal business name
HIEU T PHAN PC
Doing business as
pioneer dental
Practice address
1100 W Pioneer Dr
Irving, TX 75061-7213
Phone
(972) 870-5282
NPI assigned
Jan 10, 2010
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Hieu Tan Phan, DDSNPI 1730371576
Title
President
Phone
(972) 870-5282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23356 TX Primary

Addresses

Primary practice location

1100 W Pioneer Dr
Irving, TX 75061-7213

Mailing address

1100 W Pioneer Dr
Irving, TX 75061-7213
Phone (972) 870-5282

Other names 1

  • pioneer dental Doing business as

National Provider Directory

National Provider Directory

Locations

1100 W Pioneer Dr
Irving, TX 75061
Phone (972) 870-5282

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": "1263081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1043540305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W PIONEER DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617213",
            "telephone_number": "972-870-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W PIONEER DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750617213",
            "telephone_number": "972-870-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIEU T PHAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-10",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HIEU",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-870-5282",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pioneer dental",
            "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 Jul 19, 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.