Organization Active NPI

My T Dental

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1518250372
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23909 Issued in TX
Legal business name
MY T DENTAL
Practice address
1150 W Kiest Blvd Ste 200D
Dallas, TX 75224-3231
Phone
(832) 677-3930
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Shelly Xuan Tran
Title
Dentist
Phone
(832) 677-3930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23909 TX Primary

Addresses

Primary practice location

1150 W Kiest Blvd Ste 200D
Dallas, TX 75224-3231

Mailing address

PO Box 763639
Dallas, TX 75376-3639
Phone (832) 677-3930

National Provider Directory

National Provider Directory

Locations

1150 W Kiest Blvd
Ste 200D
Dallas, TX 75224
Phone (832) 677-3930

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1518250372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763639",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753763639",
            "telephone_number": "832-677-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W KIEST BLVD STE 200D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752243231",
            "telephone_number": "832-677-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY T DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "832-677-3930",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23909",
            "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 May 26, 2011; 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.