NPIMap

Individual provider Active NPI

Christian Edward Ong Dyhianto, M.D.

  • Family Medicine Physician
  • Magnolia, TX
National Provider Identifier
1164688099
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N3626 Issued in TX
Practice address
6912 FM 1488 Rd
Suite a
Magnolia, TX 77354-1527
Phone
(281) 356-1945
Fax
(281) 356-1978
NPI assigned
Jul 30, 2008
Last updated
Jul 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X N3626 TX Primary

Addresses

Primary practice location

6912 FM 1488 Rd
Suite a
Magnolia, TX 77354-1527

Mailing address

6912 FM 1488 Rd
Suite a
Magnolia, TX 77354-1527
Phone (281) 356-1945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090723000595 TX Practitioner - Family Practice 9638221591 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westwood Primary Care, PLLCGroup PAC ID 9638230121, 19 clinicians

Practice addresses (Care Compare)

6912 FM 1488 Rd
Suite a
Magnolia, TX 77354-1527
Phone (281) 356-1945

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Westwood Primary Care, PLLC Family Medicine CurrentSince Feb 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Village Chiropractic and Wellness P.L.L.C. Past Accepting new patients

Locations

6912 FM 1488 Rd
Magnolia, TX 77354
Phone (281) 356-1945

6912 FM 1488 Rd
Ste A
Magnolia, TX 77354
Phone (281) 356-1945

10020 Research Forest Dr
The Woodlands, TX 77354
Phone (281) 356-1945

Interoperability endpoints

  • Direct secure messaging: christianedward.dyhianto@wpcl.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1164688099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 FM 1488 RD",
            "address_2": "SUITE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541527",
            "telephone_number": "281-356-1945",
            "fax_number": "281-356-1978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6912 FM 1488 RD",
            "address_2": "SUITE A",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "773541527",
            "telephone_number": "281-356-1945",
            "fax_number": "281-356-1978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYHIANTO",
        "first_name": "CHRISTIAN EDWARD",
        "middle_name": "ONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Magnolia, TX

Sources for this page

Verify at the official NPI Registry.