Active NPI
Larry Tam, D.D.S
- Dentist
- Garland, TX
National Provider Identifier
1386083913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 28928
- Practice address
- 3460 W Walnut St Ste 600
Garland, TX 75042-7118 - Phone
- (972) 850-8261
- NPI assigned
- Jun 17, 2013
- Last updated
- May 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 28928 | TX | Primary |
Addresses
Primary practice location
3460 W Walnut St Ste 600
Garland, TX 75042-7118
Mailing address
PO Box 1715
Allen, TX 75013-0030
Phone (972) 850-8261
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
| License | State | Type | Specialty |
|---|---|---|---|
| 28928 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CPT Dental PLLC | Current | Accepting new patients | |
| CT Dental PLLC | Current | Accepting new patients |
Locations
3460 W Walnut St
Ste 600
Garland, TX 75042
Phone (214) 703-3700
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Custerpoint Kids & Family Dental
- General Practice Dentistry
- Plano, TX
- NPI 1467195040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1386083913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1715",
"city": "ALLEN",
"state": "TX",
"postal_code": "750130030",
"telephone_number": "972-850-8261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3460 W WALNUT ST STE 600",
"city": "GARLAND",
"state": "TX",
"postal_code": "750427118",
"telephone_number": "972-850-8261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "LARRY",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2022-05-04",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "28928",
"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 May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.