Individual provider Active NPI

Alyssa Chau Ly, DDS

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1194012898
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
27134 Issued in TX
Practice address
11415 Shannon Hills Dr
Houston, TX 77099-1644
Phone
(832) 576-5888
NPI assigned
Jun 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 27134 TX Primary

Addresses

Primary practice location

11415 Shannon Hills Dr
Houston, TX 77099-1644

Mailing address

11415 Shannon Hills Dr
Houston, TX 77099-1644
Phone (281) 879-8081

Other names 1

  • Chau Hong Ly Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160708001148 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0345532552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27134TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1194012898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11415 SHANNON HILLS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991644",
            "telephone_number": "281-879-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 SHANNON HILLS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991644",
            "telephone_number": "832-576-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "ALYSSA",
        "middle_name": "CHAU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHAU",
            "last_name": "LY",
            "middle_name": "HONG",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.