Individual provider Active NPI

Toan CHI Van, D.D.S.

  • General Practice Dentistry
  • Richmond, TX
National Provider Identifier
1659783066
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6466 Issued in LA
Practice address
18502 W Bellfort St Ste 112
Richmond, TX 77407-9003
Phone
(832) 378-7870
NPI assigned
May 21, 2014
Last updated
Sep 7, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6466 LA Primary

Addresses

Primary practice location

18502 W Bellfort St Ste 112
Richmond, TX 77407-9003

Mailing address

2750 Millerville Rd Apt 11203
Baton Rouge, LA 70816-0108
Phone (504) 812-9488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20160203002155 LA Order and Referring Only - DentistPractitioner - Dentist 2466756986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
LT Dentistry, PLLC CurrentSince Sep 12, 2021 Accepting new patients

Locations

18502 W Bellfort St
Ste 112
Richmond, TX 77407
Phone (832) 378-7870

Organizations & group practices 1

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1659783066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 MILLERVILLE RD APT 11203",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160108",
            "telephone_number": "504-812-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18502 W BELLFORT ST STE 112",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774079003",
            "telephone_number": "832-378-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "TOAN",
        "middle_name": "CHI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

Verify at the official NPI Registry.