NPIMap

Organization Active NPI

Vivian'S Family Dentistry

  • General Practice Dentistry
  • McKinney, TX
National Provider Identifier
1700103959
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22908 Issued in TX
Legal business name
VIVIAN'S FAMILY DENTISTRY
Practice address
1920 Eldorado Pkwy
Suite 900
McKinney, TX 75069
Phone
(972) 547-6134
Fax
(972) 547-6136
NPI assigned
Apr 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Dr. Van Vivian Nguyen, D.D.S.NPI 1285859090
Title
President
Phone
(817) 657-2818

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 22908 TX Primary

Addresses

Primary practice location

1920 Eldorado Pkwy
Suite 900
McKinney, TX 75069

Mailing address

1920 Eldorado Pkwy
Suite 900
McKinney, TX 75069
Phone (972) 547-6134

Other identifiers 1

IdentifierTypeStateIssuer
1285859090OtherTXINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

1920 Eldorado Pkwy
Ste 900
McKinney, TX 75069
Phone (817) 657-2818

Practitioners & affiliated clinicians

Practitioners 2

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": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1700103959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 ELDORADO PKWY",
            "address_2": "SUITE 900",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-547-6134",
            "fax_number": "972-547-6136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 ELDORADO PKWY",
            "address_2": "SUITE 900",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "75069",
            "telephone_number": "972-547-6134",
            "fax_number": "972-547-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN'S FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "VIVIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-657-2818",
        "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": "TX",
            "license": "22908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1285859090",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.