NPIMap

Organization Active NPI

Trung Xa DDS and Diana Xa DDS, a Professional Corporation

  • General Practice Dentistry
  • Las Vegas, NV
National Provider Identifier
1619026549
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4623 Issued in NV
Legal business name
TRUNG XA DDS AND DIANA XA DDS, A PROFESSIONAL CORPORATION
Practice address
6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436
Phone
(702) 893-2288
Fax
(702) 893-2033
NPI assigned
Jan 9, 2007
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
Dr. Trung Q XaNPI 1801827605
Title
Officer
Phone
(702) 893-2288

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 4623 NV Primary

Addresses

Primary practice location

6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436

Mailing address

6720 N Durango Dr Ste 260
Las Vegas, NV 89149-4436
Phone (702) 893-2288

Other names 1

  • Star Brite Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6720 N Durango Dr
Ste 260
Las Vegas, NV 89149
Phone (702) 893-2288

Practitioners & affiliated clinicians

Practitioners 2

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619026549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 N DURANGO DR STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494436",
            "telephone_number": "702-893-2288",
            "fax_number": "702-893-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 N DURANGO DR STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494436",
            "telephone_number": "702-893-2288",
            "fax_number": "702-893-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUNG XA DDS AND DIANA XA DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "XA",
        "authorized_official_first_name": "TRUNG",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "702-893-2288",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Brite Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

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.