NPIMap

Organization Active NPI

Oak Ridge Dental PLLC

  • Dentist
  • Garland, TX
National Provider Identifier
1831623347
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
25494 Issued in TX
Legal business name
OAK RIDGE DENTAL PLLC
Practice address
2334 W Buckingham Rd
Suite 260
Garland, TX 75042-4934
Phone
(469) 288-9301
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Phong Lan NguyenNPI 1649591140
Title
Owner/Dentist
Phone
(469) 288-9301

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X 25494 TX Primary

Addresses

Primary practice location

2334 W Buckingham Rd
Suite 260
Garland, TX 75042-4934

Mailing address

2717 Pecan Meadow Dr
Garland, TX 75040-3983

National Provider Directory

National Provider Directory

Locations

2334 W Buckingham Rd
Ste 260
Garland, TX 75042
Phone (469) 288-9301

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": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1831623347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 PECAN MEADOW DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750403983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2334 W BUCKINGHAM RD",
            "address_2": "SUITE 260",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750424934",
            "telephone_number": "469-288-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHONG",
        "authorized_official_middle_name": "LAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "469-288-9301"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "25494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.