Organization Active NPI

Richardson Dental Care

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1407113764
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHARDSON DENTAL CARE
Practice address
9788 Walnut St Ste 100
Dallas, TX 75243-4842
Phone
(617) 717-4158
NPI assigned
Apr 11, 2012
Last updated
Apr 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Authorized official

Name
Dr. Kevin Duc Nguyen, D.D.SNPI 1134453707
Title
Doctor
Phone
(617) 717-4158

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
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

9788 Walnut St Ste 100
Dallas, TX 75243-4842

Mailing address

9788 Walnut St Ste 100
Dallas, TX 75243-4842
Phone (617) 717-4158

National Provider Directory

National Provider Directory

Locations

9788 Walnut St
Ste 100
Dallas, TX 75243
Phone (214) 575-9990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1407113764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9788 WALNUT ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434842",
            "telephone_number": "617-717-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9788 WALNUT ST STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434842",
            "telephone_number": "617-717-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DUC",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "617-717-4158",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Apr 11, 2012; 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.