Organization Active NPI

Dent-O-Care

  • General Practice Dentistry
  • Pasadena, TX
National Provider Identifier
1497921639
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20650 Issued in TX
Legal business name
DENT-O-CARE
Practice address
5871 Fairmont Pkwy
Pasadena, TX 77505-3907
Phone
(281) 487-7774
Fax
(281) 487-1188
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
Dr. Cuc TruongNPI 1407831316
Title
Owner
Phone
(281) 487-7774

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 20650 TX Primary

Addresses

Primary practice location

5871 Fairmont Pkwy
Pasadena, TX 77505-3907

Mailing address

5871 Fairmont Pkwy
Pasadena, TX 77505-3907
Phone (281) 487-7774

Other identifiers 1

IdentifierTypeStateIssuer
167196801MedicaidTX

Other names 1

  • Dental Etc Doing business as

National Provider Directory

National Provider Directory

Locations

5871 Fairmont Pkwy
Pasadena, TX 77505
Phone (281) 487-7774

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1497921639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053907",
            "telephone_number": "281-487-7774",
            "fax_number": "281-487-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 FAIRMONT PKWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053907",
            "telephone_number": "281-487-7774",
            "fax_number": "281-487-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENT-O-CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "TRUONG",
        "authorized_official_first_name": "CUC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-487-7774",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167196801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Etc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.