Individual provider Active NPI

Adrienne Yoon Hwang, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1295746238
Registry record updated Oct 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22065 Issued in TX
Practice address
908 Town and Country Blvd
Ste 220
Houston, TX 77024-2221
Phone
(713) 465-6665
Fax
(713) 465-6477
NPI assigned
Aug 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2008

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 22065 TX Primary

Addresses

Primary practice location

908 Town and Country Blvd
Ste 220
Houston, TX 77024-2221

Mailing address

908 Town and Country Blvd
Ste 220
Houston, TX 77024-2221
Phone (713) 465-6665

Other identifiers 1

IdentifierTypeStateIssuer
180350401MedicaidTX

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
I20160215001003 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 0244534055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223251200000",
    "number": "1295746238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 TOWN AND COUNTRY BLVD",
            "address_2": "STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242221",
            "telephone_number": "713-465-6665",
            "fax_number": "713-465-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 TOWN AND COUNTRY BLVD",
            "address_2": "STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770242221",
            "telephone_number": "713-465-6665",
            "fax_number": "713-465-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "ADRIENNE",
        "middle_name": "YOON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180350401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.