NPIMap

Organization Active NPI

Tid Dental PLLC

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1124458732
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24610 Issued in TX
Legal business name
TID DENTAL PLLC
Practice address
9417 Mesa Drive #a
Houston, TX 77028-1253
Phone
(281) 661-6611
Fax
(281) 661-6615
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Dr. Huynh Hoa Nguyen
Title
Owner
Phone
(469) 446-3833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 24610 TX Primary

Addresses

Primary practice location

9417 Mesa Drive #a
Houston, TX 77028-1253

Mailing address

PO Box 909
Alief, TX 77411-0909
Phone (281) 661-6611

Other names 1

  • SMILEY DENTAL Former legal business name

National Provider Directory

National Provider Directory

Locations

9417 Mesa Dr
Ste A
Houston, TX 77028
Phone (713) 674-0811

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1124458732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "ALIEF",
            "state": "TX",
            "postal_code": "774110909",
            "telephone_number": "281-661-6611",
            "fax_number": "281-661-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 MESA DRIVE #A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770281253",
            "telephone_number": "281-661-6611",
            "fax_number": "281-661-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TID DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "HUYNH",
        "authorized_official_middle_name": "HOA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-446-3833",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SMILEY DENTAL",
            "code": "4",
            "type": "Former Legal Business 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 Nov 21, 2013; 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.