Individual provider Active NPI

Minhchau Thoai Nguyen, DDS

  • General Practice Dentistry
  • Katy, TX
National Provider Identifier
1285754713
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21065 Issued in TX
Practice address
3950 Fry Rd Ste 600
Katy, TX 77449-6743
Phone
(281) 578-3300
Fax
(832) 565-8213
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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 21065 TX Primary

Addresses

Primary practice location

3950 Fry Rd Ste 600
Katy, TX 77449-6743

Mailing address

PO Box 5805
Katy, TX 77491-5805
Phone (281) 578-3300

Other practice location 1

2445 Eldridge Pkwy
Houston, TX 77077-5255
Phone (281) 800-2019

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
I20231228003385 TX Order and Referring Only - DentistPractitioner - Dentist 4486952991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21065TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Dental Management, PA General Practice PastSince Aug 28, 2021 Accepting new patients
Omnipoint Enterprises, PA General Practice Past Accepting new patients

Organizations & group practices 2

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1285754713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5805",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774915805",
            "telephone_number": "281-578-3300",
            "fax_number": "832-565-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 FRY RD STE 600",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496743",
            "telephone_number": "281-578-3300",
            "fax_number": "832-565-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2445 Eldridge Pkwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770775255",
            "country_code": "US",
            "telephone_number": "281-800-2019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINHCHAU",
        "middle_name": "THOAI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.