Organization Active NPI

That Dang Tooth PLLC

Doing business as 915 Smile Studio

  • Dentist
  • El Paso, TX
National Provider Identifier
1104632967
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THAT DANG TOOTH PLLC
Doing business as
915 Smile Studio
Practice address
3260 N Zaragoza Rd Ste D406
El Paso, TX 79938-4677
Phone
(915) 271-4777
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Quoc DangNPI 1265969620
Title
Owner
Phone
(408) 705-5001

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 Primary

Addresses

Primary practice location

3260 N Zaragoza Rd Ste D406
El Paso, TX 79938-4677

Mailing address

3260 N Zaragoza Rd Ste D406
El Paso, TX 79938-4677
Phone (915) 271-4777

Other names 1

  • 915 Smile Studio Doing business as

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": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1104632967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 N ZARAGOZA RD STE D406",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384677",
            "telephone_number": "915-271-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 N ZARAGOZA RD STE D406",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799384677",
            "telephone_number": "915-271-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAT DANG TOOTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "DANG",
        "authorized_official_first_name": "QUOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-705-5001"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "915 Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

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