Vibrant Dental Care, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27940 Issued in TX

Legal business name

VIBRANT DENTAL CARE, PLLC

Doing business as

Vibrant Dental Care

Practice address

17721 Dallas Pkwy
106
Dallas, TX 75287-7343

Phone

(469) 914-5940

Fax

(469) 914-5811

NPI assigned

Sep 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Diem Hong Nguyen, DDSNPI 1508129537

Title

Dentist

Phone

(469) 879-0926

Specialties & licenses 1

Addresses

Other names 1

• Vibrant Dental Care Doing business as

Locations

Practitioners 1

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

• Diem Hong Nguyen, D.D.S.

  • Dentist
  • Dallas, TX
  • NPI 1508129537
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1386190932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY",
            "address_2": "106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877343",
            "telephone_number": "469-914-5940",
            "fax_number": "469-914-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17721 DALLAS PKWY",
            "address_2": "106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877343",
            "telephone_number": "469-914-5940",
            "fax_number": "469-914-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANT DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "469-879-0926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vibrant Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christopher George Viamontes, MD
• Allison Sara Viator, ATR-P, LPC-ASSOCIATE
• Vibrant Health MD, PLLC
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• Catherine M Vicci, O.D.
• Fiorella Giovanna Vicenty-Latorre, MD
• Susan Vichick-Johnson, LCSW

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.