NPIMap

Organization Active NPI

Lan M Nguyen

Doing business as Pioneer Crossing Dental Center

  • Dentist
  • Arlington, TX
National Provider Identifier
1285704395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18140 Issued in TX
Legal business name
LAN M NGUYEN
Doing business as
Pioneer Crossing Dental Center
Practice address
2235 Carter Dr #109
Arlington, TX 76010
Phone
(817) 461-5510
Fax
(817) 460-5448
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lan Mai Nguyen, DDSNPI 1568615870
Title
Dentist
Phone
(817) 461-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18140 TX Primary

Addresses

Primary practice location

2235 Carter Dr #109
Arlington, TX 76010

Mailing address

2235 Carter Dr #109
Arlington, TX 76010
Phone (817) 461-5510

Other names 1

  • Pioneer Crossing Dental Center Doing business as

National Provider Directory

National Provider Directory

Locations

2235 Carter Dr
Ste 109
Arlington, TX 76010
Phone (817) 461-5510

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285704395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CARTER DR #109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-461-5510",
            "fax_number": "817-460-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CARTER DR #109",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "76010",
            "telephone_number": "817-461-5510",
            "fax_number": "817-460-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAN M NGUYEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LAN",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-461-5510",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pioneer Crossing Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.