Organization Active NPI

Ai Dental, PLLC

  • Dental Clinic/Center
  • Dallas, TX
National Provider Identifier
1720560766
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AI DENTAL, PLLC
Practice address
4222 Trinity Mills Rd Ste 240
Dallas, TX 75287-7659
Phone
(972) 248-9955
Fax
(972) 248-4433
NPI assigned
Sep 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Authorized official

Name
Dr. Yen-Yo LiaoNPI 1730485442
Title
Owner
Phone
(972) 248-9955

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4222 Trinity Mills Rd Ste 240
Dallas, TX 75287-7659

Mailing address

4222 Trinity Mills Rd Ste 240
Dallas, TX 75287-7659
Phone (972) 248-9955

Other identifiers 1

IdentifierTypeStateIssuer
282330402MedicaidTX

National Provider Directory

National Provider Directory

Locations

4222 Trinity Mills Rd
Ste 240
Dallas, TX 75287
Phone (972) 248-9955

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": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536192000000",
    "number": "1720560766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877659",
            "telephone_number": "972-248-9955",
            "fax_number": "972-248-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 TRINITY MILLS RD STE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752877659",
            "telephone_number": "972-248-9955",
            "fax_number": "972-248-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AI DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A",
        "authorized_official_last_name": "LIAO",
        "authorized_official_first_name": "YEN-YO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-248-9955",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282330402",
            "state": "TX"
        }
    ],
    "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 Sep 6, 2018; 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.