Organization Active NPI

Sparkle Dental Center Associates PC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1609017052
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SPARKLE DENTAL CENTER ASSOCIATES PC
Practice address
9205 Skillman St
Ste 128
Dallas, TX 75243-9031
Phone
(469) 360-8036
Fax
(972) 840-6830
NPI assigned
Mar 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Tuan Nguyen, DDS
Title
President/Owner
Phone
(469) 360-8036

Specialties & licenses 1

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

Addresses

Primary practice location

9205 Skillman St
Ste 128
Dallas, TX 75243-9031

Mailing address

9205 Skillman St
Ste 128
Dallas, TX 75243-9031
Phone (469) 360-8036

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1609017052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "STE 128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "469-360-8036",
            "fax_number": "972-840-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 SKILLMAN ST",
            "address_2": "STE 128",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752439031",
            "telephone_number": "469-360-8036",
            "fax_number": "972-840-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKLE DENTAL CENTER ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TUAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "469-360-8036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "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 Mar 16, 2009; 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.