Individual provider Active NPI

Kieu-Trinh Thi Dao, D.D.S.

  • General Practice Dentistry
  • Garland, TX
National Provider Identifier
1295975019
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16697 Issued in TX
Practice address
4431 W Walnut St Ste a
Garland, TX 75042-4108
Phone
(972) 485-1200
Fax
(972) 485-1211
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16697 TX Primary

Addresses

Primary practice location

4431 W Walnut St Ste a
Garland, TX 75042-4108

Mailing address

12801 Midway Rd Ste 401
Dallas, TX 75244-6829
Phone (214) 232-5062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16697TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smiley Dental Walnut, PLLC General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236297600000",
    "number": "1295975019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 MIDWAY RD STE 401",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446829",
            "telephone_number": "214-232-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4431 W WALNUT ST STE A",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424108",
            "telephone_number": "972-485-1200",
            "fax_number": "972-485-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "KIEU-TRINH",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "16697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.