Individual provider Active NPI

Stacey Ngoc Diep, DDS

  • Pediatric Dentistry
  • Humble, TX
National Provider Identifier
1043940810
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
38901 Issued in TX
Practice address
16903 W Lake Houston Pkwy
Humble, TX 77346-4733
Phone
(713) 697-6453
NPI assigned
Jun 14, 2022
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38901 TX
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 38901 TX Primary

Addresses

Primary practice location

16903 W Lake Houston Pkwy
Humble, TX 77346-4733

Mailing address

16903 W Lake Houston Pkwy
Humble, TX 77346-4733

Other practice location 1

7500 Cambridge St Ste 3410
Houston, TX 77054-2032
Phone (713) 500-8220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38901TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians PastSince Jun 1, 2022 Accepting new patients
The University of Texas Health Science Center at Houston Pediatric Dentistry PastSince Jun 1, 2022 Accepting new patients
Oceanus Dental, PLLC Dentist PastSince Apr 9, 2024 Accepting new patients
University of Texas Health Science Center at Houston Pediatric Dentistry PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1043940810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16903 W LAKE HOUSTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16903 W LAKE HOUSTON PKWY",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773464733",
            "telephone_number": "713-697-6453"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 Cambridge St Ste 3410",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770542032",
            "country_code": "US",
            "telephone_number": "713-500-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEP",
        "first_name": "STACEY",
        "middle_name": "NGOC",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38901",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "38901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.