AFFORDABLE DENTIST NEAR ME PLLC
NPI 1194194845
Clinic/Center - Dental in Grand Prairie, TX

Active since September 23, 2015
2501 W I 20 STE 100, GRAND PRAIRIE, TX 75052(214) 447-0696(817) 665-3822 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Affordable Dentist Near Me Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFORDABLE DENTIST NEAR ME PLLC (NPI 1194194845) is a healthcare organization registered as a dental in Grand Prairie, Texas and active in the NPI registry since September 2015. The organization lists Tri H Pham, Doctor, as its authorized official.

NPPES Registry Identity

NPI1194194845
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameAFFORDABLE DENTIST NEAR ME PLLC
Location Address2501 W I 20 STE 100Grand Prairie, TX 75052-3948
Mailing Address6426 Meadowbrook DrFort Worth, TX 76112-5123 · (817) 496-2343 · Fax (817) 665-3822
Fax(817) 665-3822
Organization SubpartNo
Authorized OfficialTri H PhamDoctor · (817) 496-2343
Enumeration DateSeptember 23, 2015
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1194194845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X · License 24570 (TX)
2501 W I 20 STE 100, Grand Prairie, TX 75052

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Affordable Dentist Near Me Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Affordable Dentist Near Me PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Oral Surgery
NPI 1558597963
6426 MEADOWBROOK DR
Fort Worth, TX 76112
(817) 496-2343
✔ PECOS11 mi
Oral Surgery
NPI 1417171281
3010 LYNDON B JOHNSON FWY STE 200
Dallas, TX 75234
(972) 444-8888
✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affordable Dentist Near Me PLLC's NPI number?

The NPI number for Affordable Dentist Near Me PLLC is 1194194845. It was assigned to this organization in the NPPES registry on September 23, 2015.

Where is Affordable Dentist Near Me PLLC located?

Affordable Dentist Near Me PLLC is located at 2501 W I 20 Ste 100, Grand Prairie, TX 75052. The listed phone number is (214) 447-0696.

What is Affordable Dentist Near Me PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Is Affordable Dentist Near Me PLLC enrolled in Medicare?

Yes. Affordable Dentist Near Me PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Affordable Dentist Near Me PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Oral Surgery, reassign their Medicare billing to Affordable Dentist Near Me PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Affordable Dentist Near Me PLLC accept?

Health plans from UnitedHealthcare list Affordable Dentist Near Me PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Affordable Dentist Near Me PLLC was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.