Active NPI
Affordable Dentist Near Me PLLC
- Dental Clinic/Center
- Grand Prairie, TX
National Provider Identifier
1194194845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AFFORDABLE DENTIST NEAR ME PLLC
- Practice address
- 2501 W I 20 Ste 100
Grand Prairie, TX 75052-3948 - Phone
- (214) 447-0696
- Fax
- (817) 665-3822
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tri H Pham, DDS
- Title
- Doctor
- Phone
- (817) 496-2343
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 24570 | TX | |
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2501 W I 20 Ste 100
Grand Prairie, TX 75052-3948
Mailing address
6426 Meadowbrook Dr
Fort Worth, TX 76112-5123
Phone (817) 496-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180410001166 | TX | Part B Supplier - Clinic/Group Practice | 0345503199 |
Receives reassigned benefits from 2 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Crowley, TX; Grand Prairie, TX; Fort Worth, TX |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Affordable Dentist Near Me PLLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Dallas, TX
- NPI 1821503772
-
- Dental Clinic/Center
- Fort Worth, TX
- NPI 1760234165
-
- Dental Clinic/Center
- Fort Worth, TX
- NPI 1770952814
-
- Dental Clinic/Center
- Crowley, TX
- NPI 1992174031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710806400000",
"number": "1194194845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6426 MEADOWBROOK DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761125123",
"telephone_number": "817-496-2343",
"fax_number": "817-665-3822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 W I 20 STE 100",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750523948",
"telephone_number": "214-447-0696",
"fax_number": "817-665-3822"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AFFORDABLE DENTIST NEAR ME PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-23",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "TRI",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "817-496-2343",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "24570",
"primary": false
},
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
- Advanced Care & Home Support Inc
- Aedel Global Health Services LLC
- Afc Palliative and Hospice Care LLC
- Affinity Acute Care Home Health Services Inc
- Affordable Dentist Near Me Grand Prairie, PLLC
- Olubolanle Afolayan, PHARMD
- Babak Afshinnik, MD
- Agape Life Multicultural Services
- Folake Oyewunmi Agbalaya
- Agrace LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.