Individual provider Active NPI

Jessie Trinh-Moore, D.M.D.

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1932425204
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
25313 Issued in TX
Practice address
400 N Zang Blvd Ste 100
Dallas, TX 75208-4558
Phone
(214) 390-9960
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 25313 TX Primary

Addresses

Primary practice location

400 N Zang Blvd Ste 100
Dallas, TX 75208-4558

Mailing address

7604 Quail Ridge CT
Fort Worth, TX 76132-3538
Phone (702) 499-6330

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

LicenseStateTypeSpecialty
25313TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Dental Services of Texas, PLLC PastSince Oct 30, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1932425204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7604 QUAIL RIDGE CT",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323538",
            "telephone_number": "702-499-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N ZANG BLVD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084558",
            "telephone_number": "214-390-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH-MOORE",
        "first_name": "JESSIE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

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

Verify at the official NPI Registry.