Epic West Family Dnetistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EPIC WEST FAMILY DNETISTRY PLLC

Practice address

3166 SH 161
Ste 190
Grand Prairie, TX 75052

Phone

(972) 544-1592

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Nina Dinh, DDSNPI 1396000196

Title

Owner

Phone

(972) 544-1592

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Nina Thi Dinh, D.D.S.

  • Dentist
  • Arlington, TX
  • NPI 1396000196
  NPD Authorized official
• Vanna Kim Nguyen, DDS

  • Dentist
  • Grand Prairie, TX
  • NPI 1790356525
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1457992844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3166 SH 161",
            "address_2": "STE 190",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 SH 161",
            "address_2": "STE 190",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-544-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC WEST FAMILY DNETISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-544-1592",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1396000196",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, 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 Oct 7, 2019; 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.