Organization Active NPI

Three Star Dental, PA

  • Dentist
  • Arlington, TX
National Provider Identifier
1902026222
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
THREE STAR DENTAL, PA
Practice address
8021 Matlock Rd
Suite 123
Arlington, TX 76002-4707
Phone
(817) 472-9495
Fax
(817) 472-9428
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jonathan Thien Nguyen, DDSNPI 1457577306
Title
Dentist
Phone
(817) 472-9495

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 Primary

Addresses

Primary practice location

8021 Matlock Rd
Suite 123
Arlington, TX 76002-4707

Mailing address

8021 Matlock Rd
Suite 123
Arlington, TX 76002-4707
Phone (817) 472-9495

Other identifiers 1

IdentifierTypeStateIssuer
0084NQOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

8021 Matlock Rd
Ste 123
Arlington, TX 76002
Phone (817) 472-9495

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": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902026222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8021 MATLOCK RD",
            "address_2": "SUITE 123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024707",
            "telephone_number": "817-472-9495",
            "fax_number": "817-472-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8021 MATLOCK RD",
            "address_2": "SUITE 123",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024707",
            "telephone_number": "817-472-9495",
            "fax_number": "817-472-9428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE STAR DENTAL, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "THIEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "817-472-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0084NQ",
            "state": "TX"
        }
    ],
    "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 Aug 22, 2020; 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.