Organization Active NPI

Minhdai Investment

  • General Practice Dentistry
  • Grand Prairie, TX
National Provider Identifier
1689822074
Registry record updated Aug 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MINHDAI INVESTMENT
Practice address
2615 W Pioneer Pkwy Ste 102
Grand Prairie, TX 75051-3536
Phone
(214) 788-2840
Fax
(214) 788-2860
NPI assigned
Aug 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2008

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

Authorized official

Name
Dr. Kevin Phuong Nguyen, D.D.S.NPI 1962506345
Title
Dentist
Phone
(817) 461-3540

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 SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2615 W Pioneer Pkwy Ste 102
Grand Prairie, TX 75051-3536

Mailing address

1120 E Pioneer Pkwy Ste 100
Arlington, TX 76010-6400
Phone (817) 461-3540

National Provider Directory

National Provider Directory

Locations

1120 E Pioneer Pkwy
Ste 100
Arlington, TX 76010
Phone (714) 717-0705

Practitioners & affiliated clinicians

Practitioners 1

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": "1219881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219881600000",
    "number": "1689822074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 E PIONEER PKWY STE 100",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760106400",
            "telephone_number": "817-461-3540",
            "fax_number": "817-303-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 W PIONEER PKWY STE 102",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513536",
            "telephone_number": "214-788-2840",
            "fax_number": "214-788-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINHDAI INVESTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-28",
        "last_updated": "2008-08-28",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PHUONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-461-3540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.