Organization Active NPI

Affinity Dental, PLLC

  • General Practice Dentistry
  • Irving, TX
National Provider Identifier
1124271739
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AFFINITY DENTAL, PLLC
Practice address
1735 N Story Rd Ste 180
Irving, TX 75061-1951
Phone
(972) 513-9000
Fax
(972) 513-9191
NPI assigned
Oct 28, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Chuong DO, DDSNPI 1508025719
Title
Member/Manager
Phone
(817) 966-0648

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
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

1735 N Story Rd Ste 180
Irving, TX 75061-1951

Mailing address

1735 N Story Rd Ste 180
Irving, TX 75061-1951
Phone (972) 513-9000

National Provider Directory

National Provider Directory

Locations

1735 N Story Rd
Ste 180
Irving, TX 75061
Phone (817) 513-9000

Practitioners & affiliated clinicians

Practitioners 3

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": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1124271739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N STORY RD STE 180",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750611951",
            "telephone_number": "972-513-9000",
            "fax_number": "972-513-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N STORY RD STE 180",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750611951",
            "telephone_number": "972-513-9000",
            "fax_number": "972-513-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "CHUONG",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "817-966-0648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.