Organization Active NPI

Dental Republic - Buckner, PC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1154547057
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL REPUBLIC - BUCKNER, PC
Practice address
2336 S Buckner Blvd
Dallas, TX 75227-8605
Phone
(214) 381-2020
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Son Tran, D.D.S.
Title
President
Phone
(972) 747-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2336 S Buckner Blvd
Dallas, TX 75227-8605

Mailing address

508 W McDermott Dr
Ste 100
Allen, TX 75013-2777
Phone (972) 747-1400

National Provider Directory

National Provider Directory

Locations

2336 S Buckner Blvd
Dallas, TX 75227
Phone (214) 381-2020

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1154547057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W MCDERMOTT DR",
            "address_2": "STE 100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132777",
            "telephone_number": "972-747-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2336 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278605",
            "telephone_number": "214-381-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL REPUBLIC - BUCKNER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-747-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.