Individual provider Active NPI

Nhung Dinh

  • Dentist
  • Arlington, TX
National Provider Identifier
1649461542
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23407 Issued in TX
Practice address
5508 Matlock Rd
Suite 100
Arlington, TX 76018-6274
Phone
(817) 465-2900
Fax
(817) 465-2917
NPI assigned
Aug 6, 2007
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23407 TX Primary

Addresses

Primary practice location

5508 Matlock Rd
Suite 100
Arlington, TX 76018-6274

Mailing address

5508 Matlock Rd
Suite 100
Arlington, TX 76018-6274
Phone (817) 465-2900

Other practice location 1

740 SW Green Oaks Blvd
Suite 201
Arlington, TX 76017-6274
Phone (817) 465-2900

Other practice location 2

1617 N Beach St
Fort Worth, TX 76111-6617
Phone (817) 831-7300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515000086 TX Order and Referring Only - DentistPractitioner - Dentist 7113281494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23407TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Nhung Dinh DDS PLLC CurrentSince Dec 1, 2007 Accepting new patients
Arlington Family Foot Care PA PastSince Jun 1, 2006 Accepting new patients

Locations

5508 Matlock Rd
Ste 100
Arlington, TX 76018
Phone (817) 465-2900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1649461542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 MATLOCK RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186274",
            "telephone_number": "817-465-2900",
            "fax_number": "817-465-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5508 MATLOCK RD",
            "address_2": "SUITE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186274",
            "telephone_number": "817-465-2900",
            "fax_number": "817-465-2917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "740 SW Green Oaks Blvd",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760176274",
            "country_code": "US",
            "telephone_number": "817-465-2900",
            "fax_number": "817-465-2917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 N Beach St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761116617",
            "country_code": "US",
            "telephone_number": "817-831-7300",
            "fax_number": "817-831-7303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DINH",
        "first_name": "NHUNG",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "23407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.