NPIMap

Organization Active NPI

1St Care Dental, P.a.

  • General Practice Dentistry
  • Cypress, TX
National Provider Identifier
1285906487
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24744 Issued in TX
Legal business name
1ST CARE DENTAL, P.A.
Practice address
29110 Highway 290
Suite 200
Cypress, TX 77433-4681
Phone
(281) 256-7331
NPI assigned
Feb 2, 2012
Last updated
Nov 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Dr. Phuonghanh Hoang, DDS
Title
President
Phone
(281) 256-7331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24744 TX Primary

Addresses

Primary practice location

29110 Highway 290
Suite 200
Cypress, TX 77433-4681

Mailing address

29110 Highway 290
Suite 200
Cypress, TX 77433-4681
Phone (281) 256-7331

Other identifiers 1

IdentifierTypeStateIssuer
305895001MedicaidTX

National Provider Directory

National Provider Directory

Locations

29110 Highway 290
Ste 200
Cypress, TX 77433
Phone (281) 256-7331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1285906487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29110 HIGHWAY 290",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334681",
            "telephone_number": "281-256-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29110 HIGHWAY 290",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334681",
            "telephone_number": "281-256-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CARE DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "PHUONGHANH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-256-7331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305895001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.