NPIMap

Organization Active NPI

DFW Crown Dental of South Lancaster PC

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1700105848
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24534 Issued in TX
Legal business name
DFW CROWN DENTAL OF SOUTH LANCASTER PC
Practice address
2729 S Lancaster Rd
Dallas, TX 75216-3114
Phone
(214) 371-3131
Fax
(214) 371-3140
NPI assigned
May 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Authorized official

Name
Dr. Tu Kim Nguyen, DDSNPI 1295960599
Title
President
Phone
(817) 793-8102

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 MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 24534 TX Primary

Addresses

Primary practice location

2729 S Lancaster Rd
Dallas, TX 75216-3114

Mailing address

5319 River Lake Way
Grand Prairie, TX 75052-0713
Phone (817) 793-8102

National Provider Directory

National Provider Directory

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1700105848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 RIVER LAKE WAY",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520713",
            "telephone_number": "817-793-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752163114",
            "telephone_number": "214-371-3131",
            "fax_number": "214-371-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW CROWN DENTAL OF SOUTH LANCASTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TU",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-793-8102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 20, 2010; 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.