Organization Active NPI

Fiesta Dentistry, P.a.

  • Dentist
  • Houston, TX
National Provider Identifier
1033328174
Registry record updated Oct 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FIESTA DENTISTRY, P.A.
Practice address
723A Shotwell St
Houston, TX 77020-4813
Phone
(713) 670-8922
Fax
(713) 670-7969
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2008

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

Authorized official

Name
Dr. Hiep Nguyen, D.D.S.NPI 1770655193
Title
President
Phone
(713) 670-8922

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

723A Shotwell St
Houston, TX 77020-4813

Mailing address

723A Shotwell St
Houston, TX 77020-4813
Phone (713) 670-8922

Other identifiers 1

IdentifierTypeStateIssuer
154954502MedicaidTX

National Provider Directory

National Provider Directory

Locations

723A Shotwell St
Houston, TX 77020
Phone (713) 670-8922

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": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222819200000",
    "number": "1033328174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723A SHOTWELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204813",
            "telephone_number": "713-670-8922",
            "fax_number": "713-670-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723A SHOTWELL ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770204813",
            "telephone_number": "713-670-8922",
            "fax_number": "713-670-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-10-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HIEP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-670-8922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154954502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.