Individual provider Active NPI

My Tan Huynh, NDTR, RDN, LDN

  • Registered Dietitian
  • Houston, TX
National Provider Identifier
1255121570
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
DT89944 Issued in TX
Practice address
1333 Old Spanish TRL Apt 4133
Houston, TX 77054-1870
Phone
(626) 215-4310
NPI assigned
May 9, 2025
Last updated
May 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X DT89944 TX Primary

Addresses

Primary practice location

1333 Old Spanish TRL Apt 4133
Houston, TX 77054-1870

Mailing address

1333 Old Spanish TRL Apt 4133
Houston, TX 77054-1870
Phone (626) 215-4310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208002218 TX Practitioner - Registered Dietitian Or Nutrition Professional 3779077763 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10334 Hartfield Bluff LN
Cypress, TX 77433-3988

1333 Old Spanish TRL
Apt 4133
Houston, TX 77054-1849

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DT89944TXMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Geris Diabetes Care & Education LLC CurrentSince Jul 14, 2025 Accepting new patients

Locations

2401 Fountain View Dr
Ste 464
Houston, TX 77057
Phone (832) 444-5848

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": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1255121570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 OLD SPANISH TRL APT 4133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541870",
            "telephone_number": "626-215-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 OLD SPANISH TRL APT 4133",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770541870",
            "telephone_number": "626-215-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MY",
        "middle_name": "TAN",
        "name_prefix": "Mr.",
        "credential": "NDTR, RDN, LDN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT89944",
            "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 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.