Organization Active NPI

Richrose Dental PA

Doing business as Affordable Dental

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1205013190
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21811 Issued in TX
Legal business name
RICHROSE DENTAL PA
Doing business as
Affordable Dental
Practice address
1500 Jackson St
Suite 200
Richmond, TX 77469-3668
Phone
(281) 238-4454
Fax
(281) 238-4456
NPI assigned
Jan 23, 2008
Last updated
Nov 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Dr. Thuvan Denise Tran, DDS
Title
President
Phone
(281) 238-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 21811 TX Primary

Addresses

Primary practice location

1500 Jackson St
Suite 200
Richmond, TX 77469-3668

Mailing address

1500 Jackson St
Suite 200
Richmond, TX 77469-3668
Phone (281) 238-4454

Other names 1

  • AFFORDABLE DENTAL Doing business as

National Provider Directory

National Provider Directory

Locations

1500 Jackson St
Ste 200
Richmond, TX 77469
Phone (281) 238-4454

Practitioners & affiliated clinicians

Practitioners 1

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1205013190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693668",
            "telephone_number": "281-238-4454",
            "fax_number": "281-238-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JACKSON ST",
            "address_2": "SUITE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693668",
            "telephone_number": "281-238-4454",
            "fax_number": "281-238-4456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHROSE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THUVAN",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-238-4454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AFFORDABLE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AFFORDABLE DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.