Active NPI
Tu Ren, D.D.S.,
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1164575585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 18838
- Practice address
- 13715 Tomball Parkway
Houston, TX 77086-2705 - Phone
- (281) 260-8888
- Fax
- (281) 260-8593
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18838 | TX | Primary |
Addresses
Primary practice location
13715 Tomball Parkway
Houston, TX 77086-2705
Mailing address
13715 Tomball Parkway
Houston, TX 77086-2705
Phone (281) 260-8888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B-18838 | Other | TX | DELTA |
| 0094468-01 | Medicaid | TX |
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 |
|---|---|---|---|
| 18838 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Willow Park Dental Center PA | Dentist | 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.
-
- Dentist
- Houston, TX
- NPI 1619087970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1164575585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13715 TOMBALL PARKWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770862705",
"telephone_number": "281-260-8888",
"fax_number": "281-260-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13715 TOMBALL PARKWAY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770862705",
"telephone_number": "281-260-8888",
"fax_number": "281-260-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "TU",
"credential": "D.D.S.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "18838",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELTA",
"identifier": "B-18838",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0094468-01",
"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 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.