Active NPI
Bao Tich Nguyen, DDS
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1285960633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24609
- Practice address
- 9516 Jones Rd Ste D
Houston, TX 77065-5373 - Phone
- (281) 955-8270
- NPI assigned
- Oct 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 24609 | TX | Primary |
Addresses
Primary practice location
9516 Jones Rd Ste D
Houston, TX 77065-5373
Mailing address
9516 Jones Rd #D
Houston, TX 77065
Phone (281) 995-8270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24609 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobius Dental Services PLLC | Past | Accepting new patients | |
| Kimberly Nguy, DDS, PA | 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.
-
- Dentist
- Houston, TX
- NPI 1073799250
-
- Dentist
- Houston, TX
- NPI 1700136272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1285960633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9516 JONES RD #D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77065",
"telephone_number": "281-995-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9516 JONES RD STE D",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770655373",
"telephone_number": "281-955-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAO",
"middle_name": "TICH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-20",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24609",
"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 Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.