NPIMap

Organization Active NPI

Tmaa, PLLC

  • Pediatric Dentistry
  • Fort Worth, TX
National Provider Identifier
1083098453
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TMAA, PLLC
Practice address
4109 Brown Trail
Suite 102
Fort Worth, TX 76304-3940
Phone
(181) 742-8770
NPI assigned
Jul 16, 2015
Last updated
Jul 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Authorized official

Name
Tuong Ta, DDSNPI 1407145287
Title
Owner/Provider
Phone
(817) 428-7704

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

4109 Brown Trail
Suite 102
Fort Worth, TX 76304-3940

Mailing address

4109 Brown Trail
Suite 102
Fort Worth, TX 76304-3940
Phone (181) 742-8770

National Provider Directory

National Provider Directory

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": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1083098453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 BROWN TRAIL",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "763043940",
            "telephone_number": "181-742-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 BROWN TRAIL",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "763043940",
            "telephone_number": "181-742-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TMAA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "TA",
        "authorized_official_first_name": "TUONG",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "817-428-7704",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.