Organization Active NPI

Access Dental of Saginaw

  • Dentist
  • Saginaw, TX
National Provider Identifier
1235321605
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22334 Issued in TX
Legal business name
ACCESS DENTAL OF SAGINAW
Practice address
601 N Saginaw Blvd
Suite 100
Saginaw, TX 76179-1224
Phone
(682) 286-9300
NPI assigned
Aug 9, 2007
Last updated
Aug 9, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Authorized official

Name
Dr. Tien Dinh Phan, DMD
Title
Dentist
Phone
(682) 286-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 22334 TX Primary

Addresses

Primary practice location

601 N Saginaw Blvd
Suite 100
Saginaw, TX 76179-1224

Mailing address

601 N Saginaw Blvd
Suite 100
Saginaw, TX 76179-1224
Phone (682) 286-9300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186617600000",
    "number": "1235321605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N SAGINAW BLVD",
            "address_2": "SUITE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791224",
            "telephone_number": "682-286-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N SAGINAW BLVD",
            "address_2": "SUITE 100",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761791224",
            "telephone_number": "682-286-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF SAGINAW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2007-08-09",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TIEN",
        "authorized_official_middle_name": "DINH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "682-286-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; 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.