Organization Active NPI

Ren Dental PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1043640642
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24610 Issued in TX
Legal business name
REN DENTAL PLLC
Practice address
5962 Renwick Dr
Houston, TX 77081-2406
Phone
(713) 364-7980
Fax
(713) 364-7985
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Huynh Hoa Nguyen, DDS
Title
Owner
Phone
(469) 446-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24610 TX Primary

Addresses

Primary practice location

5962 Renwick Dr
Houston, TX 77081-2406

Mailing address

PO Box 909
Alief, TX 77411-0909
Phone (713) 364-7980

Other names 1

  • SMILEY DENTAL Former legal business name

National Provider Directory

National Provider Directory

Locations

5962 Renwick Dr
Houston, TX 77081
Phone (713) 777-9887

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1043640642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774110909",
            "telephone_number": "713-364-7980",
            "fax_number": "713-364-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 RENWICK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812406",
            "telephone_number": "713-364-7980",
            "fax_number": "713-364-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUYNH",
        "authorized_official_middle_name": "HOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-446-3833",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 18, 2013; 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.