NPIMap

Organization Active NPI

Fair Oaks Dental, PA

  • General Practice Dentistry
  • Fair Oaks Ranch, TX
National Provider Identifier
1194901744
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21004 Issued in TX
Legal business name
FAIR OAKS DENTAL, PA
Practice address
9091 Fair Oaks Pkwy
Suite 304
Fair Oaks Ranch, TX 78015
Phone
(210) 698-9100
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Dr. Huyen Allison Tran, D.D.S.
Title
President
Phone
(210) 698-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 21004 TX Primary

Addresses

Primary practice location

9091 Fair Oaks Pkwy
Suite 304
Fair Oaks Ranch, TX 78015

Mailing address

9091 Fair Oaks Pkwy
Suite 304
Fair Oaks Ranch, TX 78015
Phone (210) 698-9100

National Provider Directory

National Provider Directory

Locations

9091 Fair Oaks Pkwy
Ste 304
Fair Oaks Ranch, TX 78015
Phone (210) 698-9100

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1194901744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY",
            "address_2": "SUITE 304",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "78015",
            "telephone_number": "210-698-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9091 FAIR OAKS PKWY",
            "address_2": "SUITE 304",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "78015",
            "telephone_number": "210-698-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIR OAKS DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "HUYEN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-698-9100",
        "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": "TX",
            "license": "21004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.