LA COSTA OF PORT ARTHUR PA
NPI 1942656509
Dentist - General Practice in Port Arthur, TX

Q: What is La Costa Of Port Arthur PA's NPI number?

The NPI number for La Costa Of Port Arthur PA is 1942656509. It was assigned to this organization in the NPPES registry on May 12, 2016.

Q: What is La Costa Of Port Arthur PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 12, 2016

8035 MEMORIAL BLVD, PORT ARTHUR, TX 77640(972) 514-1689 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 4, 2021, May 12, 2016 (2 updates tracked since 2016).

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About La Costa Of Port Arthur Pa NPPES

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

LA COSTA OF PORT ARTHUR PA (NPI 1942656509) is a healthcare organization registered as a general practice in Port Arthur, Texas and active in the NPI registry since May 2016. The organization lists Tien Dinh Phan, Dentist, as its authorized official.

NPPES Registry Identity

NPI1942656509

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameLA COSTA OF PORT ARTHUR PA

Location Address8035 MEMORIAL BLVDPort Arthur, TX 77640-7002

Mailing Address8150 Springwood Dr Ste 150bIrving, TX 75063-5810 · (972) 514-1689

Phone(972) 514-1689

Organization SubpartNo

Authorized OfficialTien Dinh PhanDentist · (972) 514-1689

Enumeration DateMay 12, 2016

Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration

NPPES CertifiedOctober 4, 2021

✔ NPI 1942656509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 22334

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

8035 MEMORIAL BLVD, Port Arthur, TX 77640

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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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include DentaQuest USA Insurance Company, Inc..Insurance ›

Other Providers at the Same Location NPPES 7

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

SYED S ALI M.D.

Emergency Medicine (Emergency Medical Services)