Individual provider Active NPI

Anh Van Duong, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1073650651
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15143 Issued in TX
Practice address
7746 Park Place Blvd
Houston, TX 77087-4528
Phone
(713) 649-4800
Fax
(713) 654-1700
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15143 TX Primary

Addresses

Primary practice location

7746 Park Place Blvd
Houston, TX 77087-4528

Mailing address

7746 Park Place Blvd
Houston, TX 77087-4528
Phone (713) 649-4800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113001736 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7113229758

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15143TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anh Van Duong,D.D.S.,P.C. General Practice Past 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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073650651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7746 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874528",
            "telephone_number": "713-649-4800",
            "fax_number": "713-654-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7746 PARK PLACE BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874528",
            "telephone_number": "713-649-4800",
            "fax_number": "713-654-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "ANH",
        "middle_name": "VAN",
        "name_prefix": "Mr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.