Active NPI
Thi Mai Tram Nguyen, D.D.S
- Pediatric Dentistry
- Houston, TX
National Provider Identifier
1104030873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16593
- Practice address
- 7036 Antoine Dr
Houston, TX 77088-6613 - Phone
- (281) 260-8999
- Fax
- (281) 260-8866
- NPI assigned
- May 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 16593 | TX | Primary |
Addresses
Primary practice location
7036 Antoine Dr
Houston, TX 77088-6613
Mailing address
5225 Katy Fwy
Ste 104
Houston, TX 77007-2264
Phone (832) 673-0999
Other names 1
- Dr. Thi Mai Tram Nguyen
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16593 | TX | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Dental Center | 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.
-
- General Practice Dentistry
- Houston, TX
- NPI 1396804787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516060800000",
"number": "1104030873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 KATY FWY",
"address_2": "STE 104",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770072264",
"telephone_number": "832-673-0999",
"fax_number": "281-657-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7036 ANTOINE DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770886613",
"telephone_number": "281-260-8999",
"fax_number": "281-260-8866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THI MAI TRAM",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-10",
"last_updated": "2018-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "16593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THI MAI TRAM",
"last_name": "NGUYEN",
"prefix": "DR.",
"credential": "D.D.S",
"code": "2",
"type": "Professional 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 Jan 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.