NPIMap

Organization Active NPI

Brush Up Dentistry

  • General Practice Dentistry
  • Fort Worth, TX
National Provider Identifier
1992522494
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BRUSH UP DENTISTRY
Practice address
2320 Oakland Blvd Ste 100
Fort Worth, TX 76103-3260
Phone
(817) 535-4800
Fax
(817) 535-4801
NPI assigned
Sep 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Dr. Dieu Nguyen, DMDNPI 1558932582
Title
General Dentist
Phone
(817) 535-4800

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

2320 Oakland Blvd Ste 100
Fort Worth, TX 76103-3260

Mailing address

2320 Oakland Blvd Ste 100
Fort Worth, TX 76103-3260
Phone (817) 535-4800

Other names 1

  • Luminox Dental Doing business as

National Provider Directory

National Provider Directory

Locations

2320 Oakland Blvd
Ste 100
Ft Worth, TX 76103
Phone (817) 535-4800

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": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1992522494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 OAKLAND BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033260",
            "telephone_number": "817-535-4800",
            "fax_number": "817-535-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 OAKLAND BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761033260",
            "telephone_number": "817-535-4800",
            "fax_number": "817-535-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUSH UP DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "DIEU",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "817-535-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Luminox Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Luminox Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.