Organization Active NPI

Devereux and Nguyen LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pearland, TX
National Provider Identifier
1073904439
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
29562 Issued in TX
Legal business name
DEVEREUX AND NGUYEN LLC
Practice address
2251 County Road 94
Suite 102
Pearland, TX 77584-5137
Phone
(713) 436-5858
Fax
(713) 436-4008
NPI assigned
Feb 6, 2015
Last updated
Feb 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2015

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

Authorized official

Name
Michelle Vanbenschoten
Title
Manager
Phone
(870) 834-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 29562 TX Primary

Addresses

Primary practice location

2251 County Road 94
Suite 102
Pearland, TX 77584-5137

Mailing address

2251 County Road 94
Suite 102
Pearland, TX 77584-5137
Phone (713) 436-5858

National Provider Directory

National Provider Directory
Tax ID family
Devereux and Nguyen LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2251 County Road 94
Ste 102
Pearland, TX 77584
Phone (713) 436-5858

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423180800000",
    "number": "1073904439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 COUNTY ROAD 94",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845137",
            "telephone_number": "713-436-5858",
            "fax_number": "713-436-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 COUNTY ROAD 94",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775845137",
            "telephone_number": "713-436-5858",
            "fax_number": "713-436-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX AND NGUYEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2015-02-06",
        "status": "A",
        "authorized_official_last_name": "VANBENSCHOTEN",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-834-3000"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "29562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.