Individual provider Active NPI

Alan Ou Hwang, DDS

  • General Practice Dentistry
  • Belton, TX
National Provider Identifier
1104555804
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38415 Issued in TX
Practice address
511 Lake Rd Ste 107
Belton, TX 76513-1405
Phone
(254) 933-3993
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 38415 TX Primary

Addresses

Primary practice location

511 Lake Rd Ste 107
Belton, TX 76513-1405

Mailing address

7425 La Vista Dr Apt 435
Dallas, TX 75214-4325
Phone (408) 642-8599

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
38415TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carus Dental PC General Practice CurrentSince Jun 12, 2022 Accepting new patients
Carus Dental PastSince Jun 12, 2022 Accepting new patients

Locations

511 Lake Rd
Ste 107
Belton, TX 76513
Phone (254) 933-3993

Organizations & group practices 2

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1104555804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 LA VISTA DR APT 435",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752144325",
            "telephone_number": "408-642-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LAKE RD STE 107",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765131405",
            "telephone_number": "254-933-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "ALAN",
        "middle_name": "OU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "38415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.