NPIMap

Organization Active NPI

Truc Phan, DDS, PC

  • General Practice Dentistry
  • Richardson, TX
National Provider Identifier
1699011577
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24040 Issued in TX
Legal business name
TRUC PHAN, DDS, PC
Practice address
2141 E Arapaho Rd
140
Richardson, TX 75081-3185
Phone
(469) 358-1868
NPI assigned
Dec 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Truc Thanh Phan, DDSNPI 1689835399
Title
President
Phone
(469) 358-1868

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 24040 TX Primary

Addresses

Primary practice location

2141 E Arapaho Rd
140
Richardson, TX 75081-3185

Mailing address

2141 E Arapaho Rd
140
Richardson, TX 75081-3185
Phone (469) 358-1868

Other names 1

  • evercare dental Doing business as

National Provider Directory

National Provider Directory

Locations

2141 E Arapaho Rd
Ste 140
Richardson, TX 75081
Phone (469) 358-1868

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": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1699011577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E ARAPAHO RD",
            "address_2": "140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813185",
            "telephone_number": "469-358-1868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E ARAPAHO RD",
            "address_2": "140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813185",
            "telephone_number": "469-358-1868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUC PHAN, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "TRUC",
        "authorized_official_middle_name": "THANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "469-358-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "evercare dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.