Organization Active NPI

Beyond Dental Aesthetics, P.a.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1669620472
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0021686 Issued in TX
Legal business name
BEYOND DENTAL AESTHETICS, P.A.
Practice address
2515 Inwood Rd
Suite # 101
Dallas, TX 75235-7434
Phone
(469) 867-3553
Fax
(972) 276-7373
NPI assigned
Sep 4, 2008
Organization subpart
Yes
Parent organization
BEYOND DENTAL AESTHETICS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Cory Nhut Nguyen, D.D.S.
Title
Dentist/Owner
Phone
(469) 867-3553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X 0021686 TX Primary

Addresses

Primary practice location

2515 Inwood Rd
Suite # 101
Dallas, TX 75235-7434

Mailing address

2524 Kent Dr
Irving, TX 75062-1737
Phone (469) 867-3553

Other names 1

  • Beyond Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beyond Dental Aesthetics PA2 organizations share this tax ID, including this one
Part of
Beyond Dental Aesthetics PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1669620472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 KENT DR",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750621737",
            "telephone_number": "469-867-3553",
            "fax_number": "972-276-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 INWOOD RD",
            "address_2": "SUITE # 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357434",
            "telephone_number": "469-867-3553",
            "fax_number": "972-276-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND DENTAL AESTHETICS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEYOND DENTAL AESTHETICS, P.A.",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "NHUT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "469-867-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "0021686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 4, 2008; 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.