Active NPI
Access Dental of la Casa PLLC
- General Practice Dentistry
- Wichita Falls, TX
National Provider Identifier
1770185480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- ACCESS DENTAL OF LA CASA PLLC
- Practice address
- 1211 Loop 11
Wichita Falls, TX 76306-6800 - Phone
- (940) 855-3435
- Fax
- (940) 855-3835
- NPI assigned
- Nov 9, 2020
- Last updated
- Nov 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tien Phan, DMD
- Title
- Owner
- Phone
- (972) 514-1672
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
1211 Loop 11
Wichita Falls, TX 76306-6800
Mailing address
8150 Springwood Dr Ste 150B
Irving, TX 75063-5810
Phone (972) 514-1672
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Fort Worth, TX
- NPI 1538122494
-
- General Practice Dentistry
- Wichita Falls, TX
- NPI 1104942234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604880000000",
"number": "1770185480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8150 SPRINGWOOD DR STE 150B",
"city": "IRVING",
"state": "TX",
"postal_code": "750635810",
"telephone_number": "972-514-1672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 LOOP 11",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763066800",
"telephone_number": "940-855-3435",
"fax_number": "940-855-3835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCESS DENTAL OF LA CASA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "TIEN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-514-1672",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.