Organization Active NPI

Fairbanks Dental Care

  • Dentist
  • Houston, TX
National Provider Identifier
1114247640
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21336 Issued in TX
Legal business name
FAIRBANKS DENTAL CARE
Practice address
8380 Fairbanks N Houston Rd
Houston, TX 77064-7952
Phone
(713) 466-8910
Fax
(713) 466-8907
NPI assigned
Jun 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Steve Tan Nguyen, D.D.S.
Title
Dentist
Phone
(713) 466-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 21336 TX Primary

Addresses

Primary practice location

8380 Fairbanks N Houston Rd
Houston, TX 77064-7952

Mailing address

8380 Fairbanks N Houston Rd
Houston, TX 77064-7952
Phone (713) 466-8910

Other identifiers 1

IdentifierTypeStateIssuer
187884501MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1114247640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 FAIRBANKS N HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647952",
            "telephone_number": "713-466-8910",
            "fax_number": "713-466-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8380 FAIRBANKS N HOUSTON RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770647952",
            "telephone_number": "713-466-8910",
            "fax_number": "713-466-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBANKS DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "713-466-8910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187884501",
            "state": "TX"
        }
    ],
    "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 Jun 7, 2010; 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.