Individual provider Active NPI

Wilfredo Laboy Vazquez, D.M.D.

  • Dentist
  • Houston, TX
National Provider Identifier
1053771303
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
32260 Issued in TX
Practice address
10185 Westview Dr
Houston, TX 77043-4401
Phone
(281) 245-0711
NPI assigned
Feb 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32260 TX Primary

Addresses

Primary practice location

10185 Westview Dr
Houston, TX 77043-4401

Mailing address

10185 Westview Dr
Houston, TX 77043-4401
Phone (281) 245-0711

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
32260TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Houston Dental Specialists PLLC Dentist PastSince Feb 1, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1053771303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10185 WESTVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434401",
            "telephone_number": "281-245-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10185 WESTVIEW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434401",
            "telephone_number": "281-245-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABOY VAZQUEZ",
        "first_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32260",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 25, 2024; 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.