Affordable Dentist Near Me PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

AFFORDABLE DENTIST NEAR ME PLLC

Practice address

200 E Main St Ste C
Crowley, TX 76036-2600

Phone

(817) 297-4068

Fax

(817) 665-3822

NPI assigned

Sep 18, 2015

Last updated

Mar 19, 2024By 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

Tri H Pham, DDS

Title

Doctor

Phone

(817) 496-2343

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Grand Prairie, TX
  • NPI 1194194845

  O20180410001166

  Same enrollment
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1760234165

  O20180410001166

  Same enrollment
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1770952814

  O20180410001166

  Same enrollment

Tax ID family

Affordable Dentist Near Me PLLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• Affordable Dentist Near Me Dallas PLLC.

  • Dental Clinic/Center
  • Dallas, TX
  • NPI 1821503772
  NPD tax ID
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Grand Prairie, TX
  • NPI 1194194845
  NPD tax ID
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1760234165
  NPD tax ID
• Affordable Dentist Near Me PLLC

  • Dental Clinic/Center
  • Fort Worth, TX
  • NPI 1770952814
  NPD tax ID

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.

• Tri Huu Pham, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Fort Worth, TX
  • NPI 1558597963
  NPD

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1992174031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6426 MEADOWBROOK DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761125123",
            "telephone_number": "817-496-2343",
            "fax_number": "817-665-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST STE C",
            "city": "CROWLEY",
            "state": "TX",
            "postal_code": "760362600",
            "telephone_number": "817-297-4068",
            "fax_number": "817-665-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTIST NEAR ME PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "TRI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "817-496-2343",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Abc123 Dental in Crowley PLLC
• Affordable Dentist Near Me Crowley PLLC
• Agile Guardcare
• Jasmin Jianelie Aguirre, MS, LPC, NCC
• John Kofi Aidoo Sr.
• Albertsons LLC (Savon Pharmacy)
• Tiffany Alfred, LPC-S, LMFT-S

• Dental Clinic/Center in Crowley, TX
• Providers in Crowley, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.