Organization Active NPI

Belt Line Dental PC

  • Dentist
  • Irving, TX
National Provider Identifier
1598870784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BELT LINE DENTAL PC
Practice address
2644 N Belt Line Rd
Irving, TX 75062-5245
Phone
(972) 258-8354
Fax
(972) 570-2418
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
An Tat Nguyen, DDS
Title
President
Phone
(972) 258-8354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2644 N Belt Line Rd
Irving, TX 75062-5245

Mailing address

2644 N Belt Line Rd
Irving, TX 75062-5245
Phone (972) 258-8354

National Provider Directory

National Provider Directory

Locations

2644 N Belt Line Rd
Irving, TX 75062
Phone (972) 258-8354

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598870784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625245",
            "telephone_number": "972-258-8354",
            "fax_number": "972-570-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 N BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750625245",
            "telephone_number": "972-258-8354",
            "fax_number": "972-570-2418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELT LINE DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "AN",
        "authorized_official_middle_name": "TAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-258-8354",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.