NPIMap

Organization Active NPI

Anew Dental P.C.

  • General Practice Dentistry
  • Denton, TX
National Provider Identifier
1548532997
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23144 Issued in TX
Legal business name
ANEW DENTAL P.C.
Practice address
1601 Brinker Rd
Unit 111
Denton, TX 76208
Phone
(940) 565-5049
Fax
(940) 566-6587
NPI assigned
Feb 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Trinh Thu Pham, D.D.S.
Title
President, Anew Dental PC
Phone
(940) 565-5049

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23144 TX Primary

Addresses

Primary practice location

1601 Brinker Rd
Unit 111
Denton, TX 76208

Mailing address

1601 Brinker Rd
Unit 111
Denton, TX 76208
Phone (940) 565-5049

Other identifiers 1

IdentifierTypeStateIssuer
189844721MedicaidTX

National Provider Directory

National Provider Directory

Locations

1601 Brinker Rd
Unit 111
Denton, TX 76208
Phone (940) 565-5049

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1548532997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRINKER RD",
            "address_2": "UNIT 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-565-5049",
            "fax_number": "940-566-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRINKER RD",
            "address_2": "UNIT 111",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "76208",
            "telephone_number": "940-565-5049",
            "fax_number": "940-566-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANEW DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-01",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRINH",
        "authorized_official_middle_name": "THU",
        "authorized_official_title_or_position": "PRESIDENT, ANEW DENTAL PC",
        "authorized_official_telephone_number": "940-565-5049",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "23144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189844721",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.