Individual provider Active NPI

Hue T. Ly, DMD

  • Dentist
  • Fresno, TX
National Provider Identifier
1134483381
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DL11557 Issued in MA
Practice address
12125 Highway 6 Ste D
Fresno, TX 77545-8844
Phone
(281) 431-8909
NPI assigned
Jul 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 32751 TX
Dentist 122300000X DL11557 MA Primary

Addresses

Primary practice location

12125 Highway 6 Ste D
Fresno, TX 77545-8844

Mailing address

12125 Highway 6 Ste D
Fresno, TX 77545-8844
Phone (281) 431-8909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160125001547 MA Order and Referring Only - DentistPractitioner - Dentist 2062715097

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DL11557MAMDDentist
32751TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Minhly Duy Nguyen DDS PA PastSince Dec 6, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1134483381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12125 HIGHWAY 6 STE D",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458844",
            "telephone_number": "281-431-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12125 HIGHWAY 6 STE D",
            "city": "FRESNO",
            "state": "TX",
            "postal_code": "775458844",
            "telephone_number": "281-431-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "HUE",
        "middle_name": "T.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-02",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "32751",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL11557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, TX

Sources for this page

Verify at the official NPI Registry.