Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LA COSTA DENTAL OF KOSTORYZ PA
NPI 1245658798
Dentist in Corpus Christi, TX

Q: What is La Costa Dental Of Kostoryz PA's NPI number?

The NPI number for La Costa Dental Of Kostoryz PA is 1245658798. It was assigned to this organization in the NPPES registry on April 2, 2014.

Q: What is La Costa Dental Of Kostoryz PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Active since April 02, 2014

4506 KOSTORYZ RD, CORPUS CHRISTI, TX 78415(817) 531-3500(817) 531-3501 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About La Costa Dental Of Kostoryz Pa NPPES

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

LA COSTA DENTAL OF KOSTORYZ PA (NPI 1245658798) is a healthcare organization registered as a dentist in Corpus Christi, Texas and active in the NPI registry since April 2014. The organization lists Tien Dinh Phan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1245658798

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameLA COSTA DENTAL OF KOSTORYZ PA

Location Address4506 KOSTORYZ RDCorpus Christi, TX 78415-5023

Mailing Address3050 Regent Blvd Ste 110Irving, TX 75063-3107 · (956) 507-7253

Phone(817) 531-3500

Fax(817) 531-3501

Organization SubpartNo

Authorized OfficialTien Dinh PhanDentist · (956) 507-7253

Enumeration DateApril 2, 2014

Last NPPES UpdateOctober 8, 2026

NPPES CertifiedOctober 8, 2026

✔ NPI 1245658798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 22334

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4506 KOSTORYZ RD, Corpus Christi, TX 78415

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VEENA S RAJA DDS, PHD

Dentist (General Practice)

4506 KOSTORYZ RD
CORPUS CHRISTI, TX 78415

Nueces County (361) 854-4000

SIMA HABRAWI

Dentist

4506 KOSTORYZ RD
CORPUS CHRISTI, TX 78415

Nueces County (361) 854-4000

ANS AHMAD DDS

Dentist

4506 KOSTORYZ RD
CORPUS CHRISTI, TX 78415

Nueces County (361) 854-4000

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 La Costa Dental Of Kostoryz PA's NPI number?

The NPI number for La Costa Dental Of Kostoryz PA is 1245658798. It was assigned to this organization in the NPPES registry on April 2, 2014.

Where is La Costa Dental Of Kostoryz PA located?

La Costa Dental Of Kostoryz PA is located at 4506 Kostoryz Rd, Corpus Christi, TX 78415. The listed phone number is (817) 531-3500.

What is La Costa Dental Of Kostoryz PA's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does La Costa Dental Of Kostoryz PA accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list La Costa Dental Of Kostoryz PA 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 La Costa Dental Of Kostoryz PA was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.