Active NPI
Domino Dental
- Dental Clinic/Center
- Dallas, TX
National Provider Identifier
1932917044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DOMINO DENTAL
- Practice address
- 2425 S Cockrell Hill Rd
Dallas, TX 75211-8103 - Phone
- (972) 285-2600
- NPI assigned
- Dec 20, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Vanphaphone Linavong
- Title
- DDS
- Phone
- (469) 569-2367
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
2425 S Cockrell Hill Rd
Dallas, TX 75211-8103
Mailing address
1150 E Eldorado Pkwy Ste 100
Little Elm, TX 75068-5502
Phone (972) 292-3092
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- Little Elm, TX
- NPI 1871555037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734652800000",
"number": "1932917044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 E ELDORADO PKWY STE 100",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750685502",
"telephone_number": "972-292-3092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 S COCKRELL HILL RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752118103",
"telephone_number": "972-285-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOMINO DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-20",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A",
"authorized_official_last_name": "LINAVONG",
"authorized_official_first_name": "VANPHAPHONE",
"authorized_official_title_or_position": "DDS",
"authorized_official_telephone_number": "469-569-2367"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.