Organization Active NPI

Merit Modern Dental PLLC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1477252120
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MERIT MODERN DENTAL PLLC
Practice address
12221 Merit Dr Ste 470
Dallas, TX 75251-2235
Phone
(972) 628-6440
NPI assigned
Mar 1, 2023
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Dr. Lan CHI Thi Le, DDS
Title
Managing Member
Phone
(214) 384-5748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

12221 Merit Dr Ste 470
Dallas, TX 75251-2235

Mailing address

120 E FM 544
Ste 72 PMB 358
Murphy, TX 75094

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1477252120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E FM 544",
            "address_2": "STE 72 PMB 358",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "75094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR STE 470",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512235",
            "telephone_number": "972-628-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT MODERN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "LAN CHI",
        "authorized_official_middle_name": "THI",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "214-384-5748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "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 Mar 1, 2023; 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.