Active NPI
Thien Duc DO, DMD
- Dentist
- Arlington, TX
National Provider Identifier
1841979648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 39643
- Practice address
- 5615 SW Green Oaks Blvd
Arlington, TX 76017-1105 - Phone
- (817) 483-1692
- Fax
- (817) 483-1792
- NPI assigned
- Jul 18, 2023
- Last updated
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 39643 | TX | Primary |
Addresses
Primary practice location
5615 SW Green Oaks Blvd
Arlington, TX 76017-1105
Mailing address
5615 SW Green Oaks Blvd
Arlington, TX 76017-1105
Phone (817) 483-1692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39643 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SD Dentistry PLLC | Dentist | Current | Accepting new patients |
Locations
5615 SW Green Oaks Blvd
Arlington, TX 76017
Phone (817) 483-1692
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1841979648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5615 SW GREEN OAKS BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760171105",
"telephone_number": "817-483-1692",
"fax_number": "817-483-1792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5615 SW GREEN OAKS BLVD",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760171105",
"telephone_number": "817-483-1692",
"fax_number": "817-483-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DO",
"first_name": "THIEN",
"middle_name": "DUC",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-18",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "39643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.