Organization Active NPI

Browntraildental

  • Dentist
  • Bedford, TX
National Provider Identifier
1801114491
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23212 Issued in TX
Legal business name
BROWNTRAILDENTAL
Practice address
1404 Brown TRL
#C
Bedford, TX 76022-6497
Phone
(817) 510-2960
Fax
(817) 510-2967
NPI assigned
May 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

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

Authorized official

Name
Dr. Lam Hoang, DDSNPI 1245365550
Title
Director
Phone
(817) 510-2960

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23212 TX Primary

Addresses

Primary practice location

1404 Brown TRL
#C
Bedford, TX 76022-6497

Mailing address

1404 Brown TRL
#C
Bedford, TX 76022-6497
Phone (817) 510-2960

National Provider Directory

National Provider Directory

Locations

1404 Brown Trl
Ste C
Bedford, TX 76022
Phone (817) 510-2960

Practitioners & affiliated clinicians

Practitioners 3

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": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1801114491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 BROWN TRL",
            "address_2": "#C",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226497",
            "telephone_number": "817-510-2960",
            "fax_number": "817-510-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 BROWN TRL",
            "address_2": "#C",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226497",
            "telephone_number": "817-510-2960",
            "fax_number": "817-510-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWNTRAILDENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "LAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-510-2960",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "23212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.