Organization Active NPI

Eco Dental Care, PLLC

  • General Practice Dentistry
  • Lake Jackson, TX
National Provider Identifier
1164819488
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27364 Issued in TX
Legal business name
ECO DENTAL CARE, PLLC
Practice address
210 Lake Rd, Ste 800 a
Lake Jackson, TX 77566
Phone
(979) 316-2973
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Dr. Shawn Quang Tran, DDS
Title
Manager
Phone
(979) 316-2973

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 27364 TX Primary

Addresses

Primary practice location

210 Lake Rd, Ste 800 a
Lake Jackson, TX 77566

Mailing address

212 Arrowhead Dr
Lake Jackson, TX 77566-4580
Phone (248) 210-9455

National Provider Directory

National Provider Directory

Locations

210 Lake Rd
Ste 800A
Lake Jackson, TX 77566
Phone (979) 316-2973

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1164819488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 ARROWHEAD DR",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664580",
            "telephone_number": "248-210-9455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LAKE RD, STE 800 A",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-316-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECO DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "979-316-2973",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Jackson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2015; 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.