Organization Active NPI

St Nicholas Dental PA

  • Dentist
  • Houston, TX
National Provider Identifier
1225295124
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
18292 Issued in TX
Legal business name
ST NICHOLAS DENTAL PA
Practice address
5018 Antoine Dr Ste #a
Houston, TX 77092-3352
Phone
(713) 263-8080
Fax
(713) 263-8083
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Dr. Dinh Xuan Bui, DDS/MS
Title
Owner
Phone
(713) 263-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 18292 TX Primary

Addresses

Primary practice location

5018 Antoine Dr Ste #a
Houston, TX 77092-3352

Mailing address

5018 Antoine Dr Ste a
Houston, TX 77092-3352
Phone (713) 263-8080

National Provider Directory

National Provider Directory

Locations

5018 Antoine Dr
Ste A
Houston, TX 77092
Phone (713) 263-8080

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1225295124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5018 ANTOINE DR STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923352",
            "telephone_number": "713-263-8080",
            "fax_number": "713-263-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5018 ANTOINE DR STE #A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770923352",
            "telephone_number": "713-263-8080",
            "fax_number": "713-263-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST NICHOLAS DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "BUI",
        "authorized_official_first_name": "DINH",
        "authorized_official_middle_name": "XUAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-263-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS/MS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "18292",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 19, 2008; 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.