Individual provider Active NPI

Trieunguyen Maria Dao, DDS

  • Dentist
  • Ft Worth, TX
National Provider Identifier
1548636236
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
31338 Issued in TX
Practice address
220 E Seminary Dr
Ste 100
Ft Worth, TX 76115-2607
Phone
(817) 916-4431
Fax
(817) 916-4435
NPI assigned
Aug 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 31338 TX Primary

Addresses

Primary practice location

220 E Seminary Dr
Ste 100
Ft Worth, TX 76115-2607

Mailing address

220 E Seminary Dr
Ste 100
Ft Worth, TX 76115-2607
Phone (817) 916-4431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161107000285 TX Order and Referring Only - DentistPractitioner - Dentist 5193003556

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31338TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1548636236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR",
            "address_2": "STE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761152607",
            "telephone_number": "817-916-4431",
            "fax_number": "817-916-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E SEMINARY DR",
            "address_2": "STE 100",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761152607",
            "telephone_number": "817-916-4431",
            "fax_number": "817-916-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAO",
        "first_name": "TRIEUNGUYEN",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "31338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

Verify at the official NPI Registry.