Organization Active NPI

Up Dental of Manvel PLLC

  • General Practice Dentistry
  • Manvel, TX
National Provider Identifier
1073355707
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
UP DENTAL OF MANVEL PLLC
Practice address
7218 Masters Rd
Manvel, TX 77578-4735
Phone
(281) 519-7006
Fax
(281) 519-5161
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Tri Thien Tran, DMDNPI 1548886492
Title
General Dentist
Phone
(714) 609-7687

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

7218 Masters Rd
Manvel, TX 77578-4735

Mailing address

2731 Lake Villa Dr
Missouri City, TX 77459-7656
Phone (714) 609-7687

National Provider Directory

National Provider Directory

Locations

7218 Masters Rd
Manvel, TX 77578
Phone (281) 519-7006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1073355707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2731 LAKE VILLA DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597656",
            "telephone_number": "714-609-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7218 MASTERS RD",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775784735",
            "telephone_number": "281-519-7006",
            "fax_number": "281-519-5161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UP DENTAL OF MANVEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "714-609-7687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.