Truc Nha Dinh DDS, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24596 Issued in TX

Legal business name

TRUC NHA DINH DDS, PLLC

Doing business as

Canyon Falls Family Dentistry

Practice address

12501 Canyon Falls Blvd Ste F
Willis, TX 77318-5739

Phone

(936) 856-3900

NPI assigned

Mar 9, 2012

Last updated

Mar 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Truc Nha Dinh, DDSNPI 1902031669

Title

Owner

Phone

(936) 856-3900

Specialties & licenses 1

Addresses

Other names 1

• Canyon Falls Family Dentistry Doing business as

Locations

Practitioners 1

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.

• Truc Nha Dinh, DDS

  • Dentist
  • Fairfax, VA
  • NPI 1902031669

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1871868836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 CANYON FALLS BLVD STE F",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12501 CANYON FALLS BLVD STE F",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773185739",
            "telephone_number": "936-856-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUC NHA DINH DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "DINH",
        "authorized_official_first_name": "TRUC",
        "authorized_official_middle_name": "NHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-856-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canyon Falls Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kehmia Tangeh
• Lara Taylor, BCBA
• Texas New Community Alliance (New Danville)
• Thomas G. Lee, D.D.S., Inc.
• Suzie Elisabeth Tottey
• University of Texas Medical Branch at Galveston
• Whitney Vrazel, DDS, MDS
• Walgreen Co (Walgreens #15012)
• Kerrie Wallace
• Elisa Michelle Walsh

• General Practice Dentistry in Willis, TX
• Providers in Willis, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.