Organization Active NPI

Image Dental PA

  • Dentist
  • Dallas, TX
National Provider Identifier
1336580448
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19415 Issued in TX
Legal business name
IMAGE DENTAL PA
Practice address
5510 Abrams Rd
Suite 104
Dallas, TX 75214-2000
Phone
(214) 363-1415
Fax
(214) 363-2881
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Tuan Anh Tran, D.D.S.NPI 1598713984
Title
President
Phone
(214) 363-1415

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 19415 TX Primary

Addresses

Primary practice location

5510 Abrams Rd
Suite 104
Dallas, TX 75214-2000

Mailing address

5510 Abrams Rd
Suite 104
Dallas, TX 75214-2000
Phone (214) 363-1415

National Provider Directory

National Provider Directory

Locations

5510 Abrams Rd
Ste 104
Dallas, TX 75214
Phone (214) 363-1415

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": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1336580448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 ABRAMS RD",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142000",
            "telephone_number": "214-363-1415",
            "fax_number": "214-363-2881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 ABRAMS RD",
            "address_2": "SUITE 104",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142000",
            "telephone_number": "214-363-1415",
            "fax_number": "214-363-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_middle_name": "ANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-363-1415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "19415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.