Daisy Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

22585 Issued in TX

Legal business name

DAISY DENTAL P.C.

Practice address

3970 FM 2181
Suite 200
Hickory Creek, TX 75065-4249

Phone

(972) 999-3580

NPI assigned

Apr 24, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Johnie M Nguyen, DDSNPI 1013995505

Title

Dentist/President

Phone

(940) 497-6453

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Johnie M Nguyen, DDS

  • General Practice Dentistry
  • Flower Mound, TX
  • NPI 1013995505
  NPD (past) Authorized official

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310774400000",
    "number": "1104117241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3970 FM 2181",
            "address_2": "SUITE 200",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750654249",
            "telephone_number": "940-497-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3970 FM 2181",
            "address_2": "SUITE 200",
            "city": "HICKORY CREEK",
            "state": "TX",
            "postal_code": "750654249",
            "telephone_number": "972-999-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAISY DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-07-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JOHNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "940-497-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "22585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER",
            "identifier": "1900193-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208027-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Joshua Blan Crawford, PA-C
• Kimberly M Cumings, PAC
• Linh My Dao, PHARM.D.
• Amber Durani, PA-C
• Amanda Evans, LPC
• Elizabeth Gage, PA
• Jacqueline Garrity

• Dental Clinic/Center in Hickory Creek, TX
• Providers in Hickory Creek, TX by specialty
• Dental Clinic/Center in Texas

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