Individual provider Active NPI

Minh Van, DDS, MS

  • Prosthodontics
  • Katy, TX
National Provider Identifier
1174294045
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
37903 Issued in TX
Practice address
3820 Fry Rd Ste 102
Katy, TX 77449-6844
Phone
(281) 206-7282
NPI assigned
Sep 21, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 37903 TX Primary

Addresses

Primary practice location

3820 Fry Rd Ste 102
Katy, TX 77449-6844

Mailing address

636 Highway 6 Ste 700
Sugar Land, TX 77478-5143
Phone (281) 240-3210

Other practice location 1

636 Highway 6 Ste 700
Sugar Land, TX 77478-5143
Phone (281) 240-3210

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tan Pham, DDS, PA CurrentSince Jun 18, 2023 Accepting new patients
MTV Dental, PLLC CurrentSince Jun 18, 2023 Accepting new patients
A 7 Dental PastSince Sep 28, 2021 Accepting new patients

Locations

3820 Fry Rd
Ste 102
Katy, TX 77449
Phone (281) 206-7282

636 Highway 6
Ste 700
Sugar Land, TX 77478
Phone (281) 240-3210

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1174294045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 HIGHWAY 6 STE 700",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774785143",
            "telephone_number": "281-240-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 FRY RD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496844",
            "telephone_number": "281-206-7282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "636 Highway 6 Ste 700",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774785143",
            "country_code": "US",
            "telephone_number": "281-240-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN",
        "first_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "37903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.