Vanphaphone Linavong, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

20505 Issued in TX

Practice address

407 W Eldorado Pkwy
Ste. 140
Little Elm, TX 75068-5075

Phone

(972) 292-3092

NPI assigned

Apr 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lakeside Dental

  • Dentist
  • Little Elm, TX
  • NPI 1558462689
  NPD (past) Authorized official
• Ensenada Dental PLLC

  • Dentist
  • Arlington, TX
  • NPI 1215554555
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1871555037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 W ELDORADO PKWY",
            "address_2": "STE. 140",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W ELDORADO PKWY",
            "address_2": "STE. 140",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685075",
            "telephone_number": "972-292-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINAVONG",
        "first_name": "VANPHAPHONE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "20505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1573685-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Lepak, MD
• Yuen Shan Leung
• Hope Stephanie Lewis, LPC
• Robin Lewis
• Hsin-Lun Li
• Little Elm Dental Care PA
• Little Elm Dentistry and Orthodontics PC
• Little Elm Eye Care, P.a.
• Little Elm FM 423 Medical Center LLC
• Little Elm Independent School District

• Dentist in Little Elm, TX
• Providers in Little Elm, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.