Individual provider Active NPI

Quoc-Thang Hung Lam, D.D.S.

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1235365024
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24690 Issued in TX
Practice address
28404 Highway 290 Ste G03
Cypress, TX 77433-5474
Phone
(281) 849-8733
Fax
(281) 849-3690
NPI assigned
Jun 8, 2009
Last updated
Dec 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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 24690 TX Primary

Addresses

Primary practice location

28404 Highway 290 Ste G03
Cypress, TX 77433-5474

Mailing address

28404 Highway 290 Ste G03
Cypress, TX 77433-5474
Phone (281) 849-8733

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
I20151005002623 TX Order and Referring Only - DentistPractitioner - Dentist 0749598142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24690TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lam Dental, PLLC General Practice Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513814400000",
    "number": "1235365024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28404 HIGHWAY 290 STE G03",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335474",
            "telephone_number": "281-849-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28404 HIGHWAY 290 STE G03",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335474",
            "telephone_number": "281-849-8733",
            "fax_number": "281-849-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM",
        "first_name": "QUOC-THANG",
        "middle_name": "HUNG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2017-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.