Organization Active NPI

Blue Sky Dent PLLC

  • Dentist
  • Carrollton, TX
National Provider Identifier
1548838279
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BLUE SKY DENT PLLC
Practice address
1809 Golden Trail CT Ste 140
Carrollton, TX 75010-4667
Phone
(972) 242-2155
NPI assigned
Jun 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Authorized official

Name
Dr. Linh Khanh Nguyen, DDSNPI 1710264312
Title
President
Phone
(206) 696-2322

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1809 Golden Trail CT Ste 140
Carrollton, TX 75010-4667

Mailing address

1809 Golden Trail CT Ste 140
Carrollton, TX 75010-4667
Phone (972) 242-2155

Other practice location 1

6800 Windhaven Pkwy Ste 135
The Colony, TX 75056-5499
Phone (972) 306-0743

National Provider Directory

National Provider Directory

Locations

6800 Windhaven Pkwy
Ste 135
The Colony, TX 75056
Phone (972) 306-0743

Practitioners & affiliated clinicians

Practitioners 1

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": "1623888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623888000000",
    "number": "1548838279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 GOLDEN TRAIL CT STE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104667",
            "telephone_number": "972-242-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 GOLDEN TRAIL CT STE 140",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104667",
            "telephone_number": "972-242-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Windhaven Pkwy Ste 135",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750565499",
            "country_code": "US",
            "telephone_number": "972-306-0743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BLUE SKY DENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-17",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "KHANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-696-2322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; 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.