NPIMap

Organization Active NPI

America Dental

  • Dentist
  • Hickory Creek, TX
National Provider Identifier
1104100361
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22284 Issued in TX
Legal business name
AMERICA DENTAL
Practice address
4550 Swisher Road
Hickory Creek, TX 75065
Phone
(972) 999-7342
NPI assigned
Oct 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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

Authorized official

Name
Thuan Pham, D.D.SNPI 1912934167
Title
Director
Phone
(972) 999-7342

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 22284 TX Primary

Addresses

Primary practice location

4550 Swisher Road
Hickory Creek, TX 75065

Mailing address

4550 Swisher Road
Hickory Creek, TX 75065

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.

NPI Registry JSON

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1104100361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 SWISHER ROAD",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "75065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 SWISHER ROAD",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "75065",
            "telephone_number": "972-999-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "THUAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-999-7342",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "22284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Creek, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.