Individual provider Active NPI

Kimberly Nguy-Songvilay

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1174609333
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19488 Issued in TX
Practice address
9204 Cypress Creek Pkwy
Houston, TX 77070-6208
Phone
(832) 237-5002
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10949 TX
General Practice Dentistry 1223G0001X 19488 TX Primary

Addresses

Primary practice location

9204 Cypress Creek Pkwy
Houston, TX 77070-6208

Mailing address

12014 Sunrise Way
Houston, TX 77065-3917
Phone (832) 229-0359

Other identifiers 1

IdentifierTypeStateIssuer
8658MAOtherTXBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
19488TXMDGeneral Practice Dentistry
PA10949TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brian a Moye DDS , Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1174609333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12014 SUNRISE WAY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653917",
            "telephone_number": "832-229-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9204 CYPRESS CREEK PKWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770706208",
            "telephone_number": "832-237-5002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUY-SONGVILAY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA10949",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8658MA",
            "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 May 14, 2019; 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.