Access Dental of Illinois PA

Primary specialty

DentistTaxonomy code 122300000X

License

21449 Issued in TX

Legal business name

ACCESS DENTAL OF ILLINOIS PA

Practice address

2304 W Illinois Ave
Dallas, TX 75224

Phone

(214) 337-7200

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Carolyn Mai Trieu, DMD

Title

Owner

Phone

(214) 337-7200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1639449358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-337-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 W ILLINOIS AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75224",
            "telephone_number": "214-337-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS DENTAL OF ILLINOIS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "TRIEU",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-337-7200",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Access Behavioral Care
• Access Care Services
• Access Dallas Surgery Center PA
• Access Dental of Ferguson
• Access Dental of Hampton, P.a.
• Access Dental of Lake June
• Access Dental of Singleton
• Access Dental of Webb Chapel
• Access Healthcare Providers LLC
• Access Orthodontics of Ferguson

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.